Most Relevant Information
Provider Data
| NPI Number: | 1003468646 |
| Provider Name: | KATHERINE ANN SULLIVAN APRN, FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041432733 |
Most Important Dates
| Enumeration Date: | 07/14/2019 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
8501 W HIGGINS RD STE 601
CHICAGO
IL
606312816
Practice Location Phone/Fax
| Phone: | 7736445535 |
| Fax: | 7736445582 |
Provider Mailing Location
8501 W HIGGINS RD STE 601
CHICAGO
IL
606312816
Provider Mailing Phone/Fax
| Phone: | 7736445535 |
| Fax: | 7736445582 |