DR. LISA MARIE SULLIVAN (NPI# 1386650273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386650273 |
| Entity Type | Individual |
| Full Name | DR. LISA MARIE SULLIVAN |
| Other Name | LISA SULLIVAN |
| Credential | M.D. |
| Practice Address |
737 Saint Johns Ave Highland Park IL 60035-4650 |
| Mailing Address |
770 Rice St Highland Park IL 60035-5014 |
| Practice Telephone | 8478058088 |
| Practice Fax Number | 8478058844 |
| Mailing Telephone | 8478634627 |
| Mailing Fax Number | 8475200500 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 36107599 | IL | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
36107599 | IL | Allopathic & Osteopathic Physicians |
| N | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
36107599 | IL | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
36107599 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 135 N Arlington Heights Rd Ste 170, Buffalo Grove, IL 600891782 | 8478058088 | 8478058844 |
| 355 W Dundee Rd Ste 110, Buffalo Grove, IL 600893500 | 8478058088 | 8478058844 |
| 770 Rice St, Highland Park, IL 600355014 | 8478058088 | 8478058844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285282459 | Lisa Sullivan | Behavior Technician | 719 N Hillview Dr, Boise, ID 83712-8122 | 2019-08-29 |
| 1184183550 | Lisa Sullivan | Contractor | 113 Constitution Ct Apt A, Albany, GA 31721-2150 | 2019-03-15 |
| 1366875197 | Lisa Sullivan | Counselor | 3740 Colony Dr Ste 260, San Antonio, TX 78230-2233 | 2013-08-15 |
| 1336486414 | Lisa Marie Sullivan | Social Worker | 18 Rose Pl, Selden, NY 11784-3122 | 2013-01-10 |
| 1144579418 | Lisa Sullivan | Specialist | 252 California Ct, Mission Viejo, CA 92692-4098 | 2012-09-02 |
| 1811205750 | Lisa Renee Sullivan | Physician Assistant | 44305 Harmony Ln, Belleville, MI 48111-2449 | 2010-09-14 |
| 1700014065 | Lisa Hadeler Sullivan | Physical Therapist | 1420 Hwy 36, Hazlet, NJ 07730-1736 | 2009-06-25 |
| 1083874127 | Lisa Meghan Sullivan | Massage Therapist | 1640 Selby Ave Apt 6, Saint Paul, MN 55104-7379 | 2008-06-12 |
| 1841380375 | Lisa C. Sullivan | Pediatrics | 4950 Se Roethe Rd, Milwaukie, OR 97267-5746 | 2006-10-13 |
| 1023059813 | Lisa Hope Sullivan | Physical Therapist | 15 Neil Ct, Inside Jcc, Oceanside, NY 11572-5815 | 2006-06-10 |
| Street Address |
737 SAINT JOHNS AVE |
| City | HIGHLAND PARK |
| State | IL |
| Zip Code | 60035-4650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931350 | Brittany Elizabeth Ells | Physician Assistant | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2020-08-03 |
| 1790949980 | Lisa Sullivan, Md S.c. | Clinic/Center | 737 Saint Johns Ave, Highland Park, IL 60035-4650 | 2008-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140006 | Julian Jay Freeman | Internal Medicine | 1954 1st St., Suite 263, Highland Park, IL 60035 | 2019-05-22 |
| 1851838858 | Melissa Block | Lactation Consultant, Non-RN | 303 Sheridan Road, Highland Park, IL 60035 | 2017-01-27 |
| 1750838280 | Megan Hyatt | Physical Therapist | Central Parkway, Store #210, Highland Park, IL 60035 | 2016-09-01 |
| 1962865907 | Timothy C Dennis | Counselor | 1724 1st St., Nicasa, Highland Park, IL 60035 | 2016-03-29 |
| 1821458027 | Sarah Marie Pinger | Counselor | 1724 1st Street, Highland Park, IL 60035 | 2016-03-01 |
| 1508262775 | Jennifer Francis Gilbert | Social Worker | 1067 Centerfield Court, Highland Park, IL 60035 | 2014-11-14 |
| 1588070148 | Hpoms | Clinic/Center | 1893 Sheridan Rd Suite 311, Highland Park, IL 60035 | 2014-07-03 |
| 1477974152 | Mtca Psychological Services of Illinois P.C. | Psychologist | 1651 Richfield Avenue, Highland Park, IL 60035 | 2013-12-23 |
| 1760819510 | Linda Beth Greco | Social Worker | 274 Linden Park Place, Highland Park, IL 60035 | 2013-10-10 |
| 1770821373 | Eve Cooper Agin | Counselor | 1866 Sheridan Road, Suite 203, Highland Park, IL 60035 | 2013-01-17 |
| Find all providers in zip 60035 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073942264 | Padma Tipirneni | Allergy & Immunology | 17608 San Bernardino Dr, Orland Park, IL 60467-8210 | 2013-11-07 |
| 1003041476 | Kevin D Lindgren | Allergy & Immunology | 610 S Maple Ave Ste 5500, Oak Park, IL 60304-2808 | 2009-05-28 |
| 1457479420 | Progressive Institute of Allergy, Inc. | Allergy & Immunology | 5351 W Lawrence Ave, Chicago, IL 60630-3627 | 2007-03-27 |
| 1134252869 | Allergy and Asthma Associates of Dupage, P.C. | Allergy & Immunology | 1020 E. Ogden Ave., Suite 205, Naperville, IL 60563 | 2007-03-13 |
| 1760513725 | Greg E Sharon Md Sc | Allergy & Immunology | 303 E Army Trail Rd Ste 403, Bloomingdale, IL 60108-2155 | 2007-03-08 |
| 1861520363 | Surendra Prakash Agarwal | Allergy & Immunology | 711 W Saint Anthony Ave, Effingham, IL 62401-2050 | 2007-02-28 |
| 1104969047 | Midwest Allergy and Asthma Specialists | Allergy & Immunology | 6743 Kingery Hwy, Willowbrook, IL 60527-5142 | 2007-02-14 |
| 1578656484 | Southwest Allergy Associates.s.c. | Allergy & Immunology | 5423 W 95th St, Oak Lawn, IL 60453-3789 | 2006-10-02 |
| 1801990007 | Janusz Langiewicz | Allergy & Immunology | 1 Executive Center Ste 3, South Barrington, IL 60010 | 2006-09-11 |
| 1710095385 | Allergy and Asthma Clinic Sc | Allergy & Immunology | 229 N Hammes Ave, Joliet, IL 60435-8100 | 2006-08-25 |
| Find all providers with the same taxonomy | ||||
| City | HIGHLAND PARK |
| Zip Code | 60035 |
Please comment or provide details below to improve the information on DR. LISA MARIE SULLIVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.