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DR. BRIAN C SULLIVAN M.D.
NPI 1609874650
Emergency Medicine in Palos Heights, IL

Active since July 13, 2005
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463(708) 923-5800(708) 923-8324 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian C Sullivan M.d. NPPES

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

DR. BRIAN C SULLIVAN M.D. (NPI 1609874650) is an individual emergency medicine provider in Palos Heights, Illinois and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1609874650
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. BRIAN C SULLIVANCredential: M.D.
Location Address12251 S 80TH AVEPalos Heights, IL 60463-1256
Mailing Address9944 S Roberts Rd, Suite 204Palos Hills, IL 60465-1555 · (708) 233-8709
Phone(708) 923-5800
Fax(708) 923-8324
Sole ProprietorNo
Enumeration DateJuly 13, 2005
Last NPPES UpdateNovember 16, 2007
✔ NPI 1609874650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12251 S 80TH AVE, Palos Heights, IL 60463
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Other Identifiers 3

Medicare PINL97388
Medicare ID-Type Unspecified762690IL · Group Provider Number
Medicare UPINH23447IL

Other Providers at the Same Location NPPES 20

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

MATTHEW SCOTT KOMINSKY MD
Anesthesiology
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4000
NOOR BADER APRN, CRNA
Nurse Anesthetist, Certified Registered
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-3936
DR. JOSEPH C BREMER JR. M.D.
Emergency Medicine
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5800
MARIKAY T GAZDA LCSW
Social Worker (Clinical)
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4941
MICHAEL J BAUTISTA M.D.
Anesthesiology
12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5700
VALERIE SAFFAR APRN, CNP
Nurse Practitioner
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-5869
WINSTON DANG MD
Hospitalist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-4000
EMILY MACKANIN PT
Physical Therapist
12251 S 80TH AVE
PALOS HEIGHTS, IL 60463
Cook County (708) 923-3368

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 Brian Sullivan's NPI number?

The NPI number for Brian Sullivan is 1609874650. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Brian Sullivan located?

Brian Sullivan practices at 12251 S 80th Ave, Palos Heights, IL 60463. The listed phone number is (708) 923-5800.

What is Brian Sullivan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Brian Sullivan was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.