MR. KEVIN MICHAEL O'SULLIVAN (NPI# 1952389959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952389959 |
| Entity Type | Individual |
| Full Name | MR. KEVIN MICHAEL O'SULLIVAN |
| Credential | ATC/L, CSCS |
| Practice Address |
120 E. Higgins Rd Elk Grove Village IL 60007-3657 |
| Mailing Address |
448 N Stark Dr Palatine IL 60074-3825 |
| Practice Telephone | 8472854210 |
| Mailing Telephone | 8473598202 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2012-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096001761 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669939476 | Kevin G O'sullivan | Physical Therapist | 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 | 2019-02-28 |
| 1922492859 | Kevin Henderson O'sullivan | Family Medicine | 300 E 6th St, Texarkana, AR 71854-5207 | 2015-03-28 |
| Street Address |
120 E. HIGGINS RD |
| City | ELK GROVE VILLAGE |
| State | IL |
| Zip Code | 60007-3657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593706 | Anthony Ray Zwaga | Social Worker | 1001 Il-53 N, Elk Grove Village, IL 60007 | 2020-03-19 |
| 1104471333 | Highway Dental Inc | Dentist | 1055 Rohlwing Road, Elk Grove Village, IL 60007 | 2019-08-05 |
| 1699335984 | Orsini Pharmaceutical Services, LLC | Pharmacy | 1107 Nicholas Boulevard, Elk Grove Village, IL 60007 | 2019-06-18 |
| 1700371457 | Kandy Sandhu | Specialist/Technologist, Other | 910 Biesterfield Rd, Suite 105, Elk Grove Village, IL 60007 | 2018-06-26 |
| 1447761085 | Trevor W Avella | Physician Assistant | 800 Biesterfield Rd Ste 101, Elk Grove Village, IL 60007 | 2017-10-23 |
| 1649792573 | Paige Wesa | Speech-Language Pathologist | 936 Victoria Ln, Elk Grove Village, IL 60007 | 2017-07-12 |
| 1093242414 | Assist Illinois Senior Care Services, Inc. | In Home Supportive Care | 1052 Florida Lane, Elk Grove Village, IL 60007 | 2017-05-16 |
| 1598205098 | Azadeh Bassij | Counselor | 1001 Rohwing Rd., Kenneth Young Center, Elk Grove Village, IL 60007 | 2017-03-02 |
| 1700245438 | Roma H Venkatesan | Nurse Practitioner | 800 Biesterfield Road Cancer Institute, Suite 120, Elk Grove Village, IL 60007 | 2016-02-23 |
| 1295114825 | Shelagh Robyn Nikkel | Massage Therapist | 901 Biesterfield Rd. Suite 211, Maria A. Castellese D.c., P.C., Elk Grove Village, IL 60007 | 2015-05-28 |
| Find all providers in zip 60007 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801321609 | Jessica Falcinelli | Specialist/Technologist | 963 Charlela Ln, Apt 306, Elk Grove Village, IL 60007-3286 | 2017-04-29 |
| 1528423894 | Erica Lorenz | Specialist/Technologist | 1340 Carlisle Ave, Elk Grove Village, IL 60007-4034 | 2015-12-30 |
| 1649661729 | Jennifer Gawley | Specialist/Technologist | 554 Yarmouth Rd, Elk Grove Village, IL 60007-3455 | 2015-02-11 |
| 1346371713 | Stacy Strama | Specialist/Technologist | 1812 Pebble Beach Cir, Elk Grove Village, IL 60007-2725 | 2007-03-08 |
| 1518573021 | Tina Cavyan | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2020-09-21 |
| 1922506542 | Robert Grant | Specialist/Technologist | 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 | 2018-01-29 |
| 1336663285 | Sandra Marie Nirva | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2017-08-02 |
| 1619372372 | Sharon Leigh West | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2014-10-23 |
| 1023383130 | Michael Vincent Porters | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2012-03-22 |
| 1629100565 | Richard F. Mirro | Specialist/Technologist | 500 W Elk Grove Blvd, Elk Grove Village, IL 60007-4272 | 2007-03-09 |
| Find all providers in ELK GROVE VILLAGE | ||||
| City | ELK GROVE VILLAGE |
| Zip Code | 60007 |
Please comment or provide details below to improve the information on MR. KEVIN MICHAEL O'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.