Andy Elias Sullivan B.S.

NPI 1477998938 - Social Worker - 104100000X

NPI Details
NPI 1477998938
Gender Male
Enumeration Date 05/09/2013
Last Updated 05/09/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
401 W SPRINGFIELD AVE
CHAMPAIGN IL, 61820-4716, US
Phone (217) 398-8464
Fax
Business Location
401 W SPRINGFIELD AVE
CHAMPAIGN IL, 61820-4716, US
Phone (217) 398-8464
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Mr. Andy Elias Sullivan B.S. NPI is 1477998938, taxonomy code is 104100000X Andy Elias Sullivan B.S. physically located at 401 W Springfield Ave, Champaign IL, 61820-4716. NPI Number Andy Elias Sullivan B.S. has the Individual type.

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1477998938 NPI number is provided on an as is basis without warranty of any kind. 1477998938 is maintained by the National Plan & Provider Enumeration System. The contents of Andy Elias Sullivan B.S. are for informational purposes only.