MARY LYNN SULLIVAN, M.D.P.C.
NPI 1104074806
Clinic/Center in Oak Lawn, IL

Active since September 05, 2008
5660 W 95TH ST, SUITE 5, OAK LAWN, IL 60453(708) 499-4190(708) 857-4427 Get Directions Write a Review

NPPES record last updated: September 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Lynn Sullivan, M.d.p.c. NPPES

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

MARY LYNN SULLIVAN, M.D.P.C. (NPI 1104074806) is a healthcare organization registered as a clinic/center in Oak Lawn, Illinois and active in the NPI registry since September 2008. The organization lists Mary Lynn Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1104074806
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARY LYNN SULLIVAN, M.D.P.C.
Location Address5660 W 95TH ST, SUITE 5Oak Lawn, IL 60453-2380
Mailing Address5660 W 95th St, Suite 5Oak Lawn, IL 60453-2380 · (708) 499-4190 · Fax (708) 857-4427
Fax(708) 857-4427
Organization SubpartNo
Authorized OfficialMary Lynn SullivanPresident · (708) 499-4190
Enumeration DateSeptember 5, 2008
NPI 1104074806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 036077688
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
5660 W 95TH ST, Oak Lawn, IL 60453

Other Identifiers 1

Medicare UPINE18982IL

Other Providers at the Same Location NPPES 12

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

Internal Medicine
5660 W 95TH ST
OAK LAWN, IL 60453
Specialist
5660 W 95TH ST, SUITE 6
OAK LAWN, IL 60453
Clinic/Center (Urgent Care)
5660 W 95TH ST, SUITE 1
OAK LAWN, IL 60453
Family Medicine
5660 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine
5660 W 95TH ST, SUITE 3
OAK LAWN, IL 60453
Clinic/Center (Occupational Medicine)
5660 W 95TH ST, SUITE 1
OAK LAWN, IL 60453
Internal Medicine
5660 W 95TH ST
OAK LAWN, IL 60453
Clinic/Center
5660 W 95TH ST
OAK LAWN, IL 60453

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 Mary Lynn Sullivan, M.D.P.C.'s NPI number?

The NPI number for Mary Lynn Sullivan, M.D.P.C. is 1104074806. It was assigned to this organization in the NPPES registry on September 5, 2008.

Where is Mary Lynn Sullivan, M.D.P.C. located?

Mary Lynn Sullivan, M.D.P.C. is located at 5660 W 95th St Suite 5, Oak Lawn, IL 60453. The listed phone number is (708) 499-4190.

What is Mary Lynn Sullivan, M.D.P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Lynn Sullivan, M.D.P.C. was last updated on September 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.