DR. KERRY SULLIVAN (NPI# 1629523568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629523568 |
| Entity Type | Individual |
| Full Name | DR. KERRY SULLIVAN |
| Credential | DPT |
| Practice Address |
1401 S California Ave Chicago IL 60608-1858 |
| Mailing Address |
2740 W Logan Blvd Apt 6 Chicago IL 60647-1856 |
| Practice Telephone | 7735222010 |
| Mailing Telephone | 9144742851 |
| Enumeration Date | 2016-08-21 |
| Last Update Date | 2016-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283X00000X | Rehabilitation Hospital | 070021507 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386724961 | Kerry Renee Sullivan | Counselor | 978 Home Plz, Suite 300, Waterloo, IA 50701-4809 | 2006-10-17 |
| 1326154477 | Kerry P Sullivan | Optometrist | 106 N King St, Windsor, NC 27983-6863 | 2006-08-22 |
| 1093717548 | Kerry Sullivan | Radiology | 4110 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2005-08-15 |
| 1801246442 | Kerry Sullivan | Registered Nurse | 100 Route 59 Ste 117, Airmont, NY 10901-4927 | 2016-06-14 |
| 1205094661 | Kerry Sullivan | Social Worker | 645 N Michigan Ave Ste 803, Chicago, IL 60611-5123 | 2008-06-01 |
| 1861566176 | Kerry M. Sullivan | Surgery | 710 Lawrence Expy, Santa Clara, CA 95051-5173 | 2006-11-20 |
| Street Address |
1401 S CALIFORNIA AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757759 | Lisa S Thornton | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2005-08-15 |
| 1205434958 | Leanna Blair | Physical Therapist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-10-14 |
| 1184249518 | Caitlyn M Slawny | Speech-Language Pathologist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-06-11 |
| 1740816073 | Erika Renee Gentry | Physical Therapist | 1401 S California Ave, Chicago, IL 60608 | 2020-03-18 |
| 1679109904 | Erin Elizabeth Geraghty | Physical Therapist | 1401 S California Ave, Chicago, IL 60608-1858 | 2020-03-18 |
| 1154969418 | Diep Tran | Nurse Practitioner | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-12-18 |
| 1548829153 | Mitchell Burke | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-06-07 |
| 1700347945 | Henry Shun Guan | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-03-29 |
| 1396206801 | Roman Magid | Physical Medicine & Rehabilitation | 1401 S California Ave, Chicago, IL 60608-1858 | 2019-03-27 |
| 1184115214 | Mitchell O'neill | Internal Medicine | 1401 S California Ave, Chicago, IL 60608-1858 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 283X00000X |
| Grouping | Hospitals |
| Classification | Rehabilitation Hospital |
| A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |
| Notes: Source: Joint Commission on Accreditation of Healthcare Organizations, Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Oakbrook Terrace, IL: 1994, p. 323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356877567 | Michelle Wirth | Rehabilitation Hospital | 355 E Erie, Shirley Ryan Ability Lab, Chicago, IL 60611-2654 | 2017-05-08 |
| 1912119041 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 345 E Superior Street, 7th Floor, Chicago, IL 60611 | 2007-05-03 |
| 1649302332 | Carolyn Roberta Heron | Rehabilitation Hospital | 1255 W Westgate Ter, Chicago, IL 60607-3306 | 2007-03-09 |
| 1902953078 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 325 East Superior Street, Chicago, IL 60611 | 2007-01-04 |
| 1689749731 | Rehabilitation Institute of Chicago | Rehabilitation Hospital | 345 E Superior St Ste 1561, Chicago, IL 60611-2654 | 2006-11-22 |
| 1023006566 | Schwab Rehabilitation Hospital and Care Network | Rehabilitation Hospital | 3663 Paysphere Cir, Chicago, IL 60674-0036 | 2005-10-10 |
| 1295186484 | Jessica Palkert | Rehabilitation Hospital | 345 E Superior St, Chicago, IL 60611-2654 | 2016-06-29 |
| 1093175945 | Weena Dee | Rehabilitation Hospital | 345 E Superior St, Chicago, IL 60611-2654 | 2016-03-03 |
| 1851765804 | Advanced Pain & Back Institute, Inc. | Rehabilitation Hospital | 5425 W Belmont Ave, Chicago, IL 60641-4127 | 2015-11-13 |
| 1598028938 | Northwestern Memorial Hospital | Rehabilitation Hospital | 251 E Huron St, Chicago, IL 60611-2908 | 2012-06-20 |
| 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.