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SULLIVAN MEDICAL SQUARE, INC
NPI 1033403282
General Practice in Chicago, IL

Active since June 06, 2011
15 S KEDZIE AVE, CHICAGO, IL 60612(773) 638-2651 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sullivan Medical Square, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SULLIVAN MEDICAL SQUARE, INC (NPI 1033403282) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since June 2011. The organization lists Brian Murray, Owner, as its authorized official.

NPPES Registry Identity

NPI1033403282
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSULLIVAN MEDICAL SQUARE, INC
Location Address15 S KEDZIE AVEChicago, IL 60612-2705
Mailing Address15 S Kedzie AveChicago, IL 60612-2705 · (773) 638-2651
Phone(773) 638-2651
Organization SubpartNo
Authorized OfficialBrian MurrayOwner · (773) 638-2651
Enumeration DateJune 6, 2011
Last NPPES UpdateAugust 14, 2013
✔ NPI 1033403282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 03612661
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
15 S KEDZIE AVE, Chicago, IL 60612
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IARI INCORPORATED
Clinic/Center (Multi-Specialty)
15 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 638-2051
PEE DEE KAY, INC.
Durable Medical Equipment & Medical Supplies
15 S KEDZIE AVE
CHICAGO, IL 60612
Cook County (773) 826-4901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sullivan Medical Square, Inc's NPI number?

The NPI number for Sullivan Medical Square, Inc is 1033403282. It was assigned to this organization in the NPPES registry on June 6, 2011.

Where is Sullivan Medical Square, Inc located?

Sullivan Medical Square, Inc is located at 15 S Kedzie Ave, Chicago, IL 60612. The listed phone number is (773) 638-2651.

What is Sullivan Medical Square, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Sullivan Medical Square, Inc was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.