DR. JILL ELIZABETH SULLIVAN (NPI# 1417179409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417179409 |
| Entity Type | Individual |
| Full Name | DR. JILL ELIZABETH SULLIVAN |
| Credential | PH.D. |
| Practice Address |
1 East Erie, Suite 355 Chicago IL 60611 |
| Mailing Address |
1 E Erie St Suite 355 Chicago IL 60611-2740 |
| Practice Telephone | 3126422330 |
| Mailing Telephone | 3126422330 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
071006133 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174724272 | Jill Ruckman Sullivan | Speech-Language Pathologist | 3411 Edmonson Ct, Missouri City, TX 77459-6367 | 2007-05-29 |
| 1750330114 | Jill Marie Sullivan | Speech-Language Pathologist | 307 Canon Lane, Malvern, AR 72104 | 2006-05-10 |
| 1407360464 | Jill M Sullivan | Marriage & Family Therapist | 1525 Plumas Ct, Yuba City, CA 95991-2971 | 2017-11-28 |
| 1376062893 | Jill R Sullivan | Pharmacist | 6985 Rhea County Hwy, Dayton, TN 37321-6208 | 2017-09-15 |
| 1457711608 | Jill Sullivan | Social Worker | 30 Eastbrook Rd, Dedham, MA 02026-2048 | 2016-03-01 |
| 1174818355 | Jill Maxwell Sullivan | Internal Medicine | 701 Grove Rd, Ghs Med-peds Residency, Greenville, SC 29605-5611 | 2011-06-15 |
| 1588977425 | Jill Sullivan | Counselor | 1019 Iyannough Rd, Hyannis, MA 02601-1839 | 2010-07-21 |
| 1356528228 | Jill Marie Sullivan | Physician Assistant | 282 Washington St, Cardiology - 2b, Hartford, CT 06106-3322 | 2008-01-23 |
| 1780755405 | Jill Marie Sullivan | Physical Therapist | 301 S Lafayette St, South Lyon, MI 48178-1407 | 2006-11-13 |
| 1104934322 | Jill Ann Sullivan | Dietitian, Registered | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-08-28 |
| Street Address |
1 EAST ERIE, SUITE 355 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861092835 | Lauren Less | Social Worker | 111 East Pearson St, Chicago, IL 60611 | 2020-10-29 |
| 1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
| 1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
| 1245854033 | Danielle Humphrey | Student in an Organized Health Care Education/Training Program | Pa Program, Suite 1-200, 240 East Huron Street, Chicago, IL 60611 | 2020-06-08 |
| 1801418074 | Sana Healing Collective | Clinic/Center | 405 N. Wabash Street, Chicago, IL 60611 | 2020-05-11 |
| 1194359489 | Insight:eating Disorders, Weight Management & Psychological Centers | Psychiatric Hospital | 1 E. Erie Street, 4th Floor, Chicago, IL 60611 | 2020-02-26 |
| 1902439193 | Iwona Boska | Nurse Practitioner | 676 N St.clair Street, Suite 2140, Chicago, IL 60611 | 2020-02-17 |
| 1922643576 | Sarah Elizabeth Schwartzer | Audiologist | Chicago Dizziness and Hearing, 645 North Michigan Avenue, Suite 410, Chicago, IL 60611 | 2019-11-07 |
| 1023668852 | Anne Marguerite Davidson | Student in an Organized Health Care Education/Training Program | Mcgraw Medical Center, 240 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2019-09-13 |
| 1871141085 | Coast Management | Durable Medical Equipment & Medical Supplies | 40 E. Chicago Ave, Suite 149, Chicago, IL 60611 | 2019-08-30 |
| Find all providers in zip 60611 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330993 | Colibri Counseling | Psychologist | 4872 N Kenmore Ave Apt 1, Chicago, IL 60640-3726 | 2020-09-09 |
| 1558974873 | Kelly Hamoudah | Psychologist | 945 W George St Ste 210, Chicago, IL 60657-5876 | 2020-08-26 |
| 1407479447 | Richard J Landau | Psychologist | 913 W Van Buren St Apt 5c, Chicago, IL 60607-3528 | 2020-05-26 |
| 1699394890 | Peter Platten | Psychologist | 4444 N Campbell Ave Apt 1s, Chicago, IL 60625-3076 | 2020-04-09 |
| 1750917571 | Anxiety Clinic of Evanston, LLC | Psychologist | 4604 W Patterson Ave, Chicago, IL 60641-3609 | 2020-03-13 |
| 1023419348 | Lisa Annette Conway | Psychologist | 4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 | 2014-09-05 |
| 1255742805 | Seema Saigal | Psychologist | 17 N Dearborn St Fl 15, Adler, Chicago, IL 60602-4310 | 2014-05-16 |
| 1548501570 | Dr. Conron and Associates | Psychologist | 625 N Michigan Ave Ste 1715, Chicago, IL 60611-3685 | 2013-03-15 |
| 1467608091 | Alycia Marie Rammage | Psychologist | 4616 N Kenmore, Unit 203, Chicago, IL 60640 | 2008-08-14 |
| 1982883260 | Nicholas Richard Hammond | Psychologist | 834 W Waveland Ave # 1, Chicago, IL 60613-4302 | 2007-11-02 |
| Find all providers in CHICAGO | ||||
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| 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.