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SULLIVAN & SAMS MEDICAL, LLC
NPI 1295299774
Durable Medical Equipment & Medical Supplies in Mt Zion, IL

Active since January 29, 2019
104 E ASHLAND AVE, MT ZION, IL 62549(217) 864-8364 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2022, Jan 29, 2019 (2 updates tracked since 2019).

About Sullivan & Sams Medical, Llc NPPES

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

SULLIVAN & SAMS MEDICAL, LLC (NPI 1295299774) is a healthcare organization registered as a durable medical equipment & medical supplies in Mt Zion, Illinois and active in the NPI registry since January 2019. The organization lists Keri Tarantino, Managing Agent, as its authorized official.

NPPES Registry Identity

NPI1295299774
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSULLIVAN & SAMS MEDICAL, LLC
Location Address104 E ASHLAND AVEMt Zion, IL 62549-1271
Mailing Address104 E Ashland AveMt Zion, IL 62549-1271
Phone(217) 864-8364
Organization SubpartNo
Authorized OfficialKeri TarantinoManaging Agent · (913) 526-5282
Enumeration DateJanuary 29, 2019
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedJuly 13, 2022
✔ NPI 1295299774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
104 E ASHLAND AVE, Mt Zion, IL 62549
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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.

MADELINE FAITH MACKIN PT, DPT
Physical Therapist
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
STEPHANIE JO MCGEORGE BSN RN CNOR RNFA
Registered Nurse (Orthopedic)
104 E ASHLAND AVE
MOUNT ZION, IL 62549
Macon County (217) 864-2665
KELSEY MARIE THACKER
Nurse Practitioner
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
DECATUR ORTHOPEDIC CENTER, LLC
Durable Medical Equipment & Medical Supplies
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
DANA YOUNG BSN, RN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
MEGAN MUSICK M.P.T.
Physical Therapist
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
MADDISON RAE MAXEDON APRN
Nurse Practitioner
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665
DECATUR ORTHOPEDIC CENTER, LLC
Non-Pharmacy Dispensing Site
104 E ASHLAND AVE
MT ZION, IL 62549
Macon County (217) 864-2665

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 & Sams Medical, LLC's NPI number?

The NPI number for Sullivan & Sams Medical, LLC is 1295299774. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Sullivan & Sams Medical, LLC located?

Sullivan & Sams Medical, LLC is located at 104 E Ashland Ave, Mt Zion, IL 62549. The listed phone number is (217) 864-8364.

What is Sullivan & Sams Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Sullivan & Sams Medical, LLC was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.