Kenneth P Sullivan
RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.


Address: 1416 Cs Randall Rd, Geneva, IL 60134-4682
Phone: 6302089325

Kenneth P Sullivan (NPI# 1619929478, PAC ID# 0749271831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1619929478
PAC ID by PECOS 0749271831
Professional Enrollment ID I20040519000114
Full Name Kenneth P Sullivan
Organization Legal Name RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.
Address 1416 Cs Randall Rd
Geneva
IL 60134-4682
Phone Number 6302089325
Gender M
Credential MD
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1970
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 2769462423
Number of Group Practice Members 7
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140217 PRESENCE SAINT JOSEPH HOSPITAL - ELGIN

Other Locations

Address Phone Organization
77 N Airlite St, Elgin, IL 60123-4912 8476953200 ASSOCIATED IMAGING SPECIALISTS
1416 Cs Randall Rd, Geneva, IL 60134-4682 6302089325 RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.

Organization Information

Organization Legal Name RANDALLWOOD RADIOLOGY ASSOCIATES, S. C.
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Michael P Schwartz Diagnostic Radiology Randallwood Radiology Associates, S. C. 1416 Cs Randall Rd, Geneva, IL 60134-4682

Office Location

Street Address 1416 CS RANDALL RD
City GENEVA
State IL
Zip 60134-4682

Physicians in the same location

Name Specialty Organization Address
Michael P Schwartz Diagnostic Radiology Randallwood Radiology Associates, S. C. 1416 Cs Randall Rd, Geneva, IL 60134-4682

Physicians in the same zip code

Name Specialty Organization Address
John J Mytych Podiatry 2172 Blackberry Dr, Suite 112, Geneva, IL 60134-1102
Algimantas S Kerpe Internal Medicine 2172 Blackberry Dr, Suite 204, Geneva, IL 60134-1106
Megan Jean Martin Nurse Practitioner Sycamore Medical Associates LLC 2172 Blackberry Dr, Suite 206, Geneva, IL 60134-1106
Marvin J Salzmann Internal Medicine Sycamore Medical Associates LLC 2172 Blackberry Dr, Suite 206, Geneva, IL 60134-1106
Mark A Whitney Physician Assistant Gilvydis Vein Clinic Ltd 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111
Hallie Konieczki Nurse Practitioner Gilvydis Vein Clinic Ltd 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111
Narha Lee Undefined Physician Type (specify) Lee Advanced Breast Care LLC 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111
Patricia L Zanelli Chiropractic Core Wellness Chiropractic and Anti-aging Centre 321 Stevens St, Geneva, IL 60134-1318
Gregory J Zweig Diagnostic Radiology Radiology Subspecialists of Northern Illinois LLC 825 W State St, Suite 103e, Geneva, IL 60134-2078
Kiran V Talanki Diagnostic Radiology Radiology Subspecialists of Northern Illinois LLC 825 W State St, Suite 103e, Geneva, IL 60134-2078
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Competitor

Search similar physicians

City GENEVA
Zip Code 60134
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty GENEVA + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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