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THERESE EILEEN SULLIVAN PA-C
NPI 1629265251
Physician Assistant in Lemont, IL

Active since September 27, 2007PECOS Enrolled
47 BROOKSIDE DR, LEMONT, IL 60439(630) 257-8428 Get Directions Write a Review

NPPES record last updated: September 27, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Therese Eileen Sullivan Pa-c NPPES

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

THERESE EILEEN SULLIVAN PA-C (NPI 1629265251) is an individual physician assistant in Lemont, Illinois and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629265251
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESE EILEEN SULLIVANCredential: PA-C
Location Address47 BROOKSIDE DRLemont, IL 60439-7709
Mailing Address47 Brookside DrLemont, IL 60439-7709 · (630) 257-8428
Phone(630) 257-8428
Sole ProprietorNo
Enumeration DateSeptember 27, 2007
✔ NPI 1629265251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
47 BROOKSIDE DR, Lemont, IL 60439
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therese Eileen Sullivan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60439 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Therese Sullivan's NPI number?

The NPI number for Therese Sullivan is 1629265251. It was assigned to this individual provider in the NPPES registry on September 27, 2007.

Where is Therese Sullivan located?

Therese Sullivan practices at 47 Brookside Dr, Lemont, IL 60439. The listed phone number is (630) 257-8428.

What is Therese Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Therese Sullivan enrolled in Medicare?

Yes. Therese Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Therese Sullivan was last updated on September 27, 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.