William James Sullivan, ATC

Athletic Trainer · Tinley Park, IL

Individual Active NPI

NPI number 1124396163

Practice location

18660 Graphic Dr
Tinley Park, IL 60477-6257
Phone
(708) 686-1100

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NPI record

NPI
1124396163
Entity type
Individual (Type 1)
Enumeration date
December 5, 2011
Last updated
December 5, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 096.003196 IL

Mailing address

517 E South St
Durand, IL 61024-9674
Phone
(815) 222-6285

About William Sullivan

William James Sullivan, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 18660 Graphic Dr, Tinley Park, IL 60477-6257. The NPI number 1124396163 was assigned on December 5, 2011 and the record was last updated on December 5, 2011.

William Sullivan lists a license in the registry: #096.003196 (IL) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of William James Sullivan, ATC?

The NPI number is 1124396163.

What is the phone number of William Sullivan?

The phone number listed for the practice location is (708) 686-1100.

Where is William Sullivan located?

18660 Graphic Dr, Tinley Park, IL 60477-6257.

What is the taxonomy code for William Sullivan?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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