Paul Mark Sullivan D.C.

NPI 1023000700 - Chiropractor - 111N00000X

NPI Details
NPI 1023000700
Gender Male
Enumeration Date 08/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
10751 W 143RD ST
ORLAND PARK IL, 60462-1900, US
Phone (708) 460-8688
Fax (708) 460-9272
Business Location
MOKENA IL, 60448-8594, US
Phone (708) 460-8688
Fax (708) 460-9272
Taxonomy Code 111N00000X
License State Florida
License Number CH7806
Remove 1023000700 NPI Number

According to our database, Dr. Paul Mark Sullivan D.C. NPI is 1023000700, taxonomy code is 111N00000X and license number is CH7806, license state is located at Florida. Paul Mark Sullivan D.C. physically located at 10751 W 143rd St, Orland Park IL, 60462-1900. NPI Number Paul Mark Sullivan D.C. has the Individual type.

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1023000700 NPI number is provided on an as is basis without warranty of any kind. 1023000700 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Mark Sullivan D.C. are for informational purposes only.