LISA SULLIVAN, MD S.C.
NPI 1790949980
Allergy & Immunology in Highland Park, IL

Q: What is Lisa Sullivan, MD S.C.'s NPI number?

The NPI number for Lisa Sullivan, MD S.C. is 1790949980. It was assigned to this organization in the NPPES registry on July 16, 2008. The provider is doing business as PANACEA Allergy, Asthma & Immunology.

Q: What is Lisa Sullivan, MD S.C.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Active since July 16, 2008

737 SAINT JOHNS AVE, HIGHLAND PARK, IL 60035(847) 805-8088(847) 805-8088 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2024, Dec 12, 2023, Aug 10, 2021 and 1 more (4 updates tracked since 2021).

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About Lisa Sullivan, Md S.c. NPPES

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

LISA SULLIVAN, MD S.C. (NPI 1790949980), doing business as Panacea Allergy, Asthma & Immunology, is a healthcare organization registered as an allergy & immunology in Highland Park, Illinois and active in the NPI registry since July 2008. The organization maintains a secondary practice location in Odessa and lists Lisa Marie Sullivan, President, as its authorized official.

NPPES Registry Identity

NPI1790949980

Entity TypeOrganization

Primary Taxonomy207K00000X

Legal Business NameLISA SULLIVAN, MD S.C.

Location Address737 SAINT JOHNS AVEHighland Park, IL 60035-4650

Mailing Address19818 Cypress Bridge DrOdessa, FL 33556-4399 · (847) 805-8088 · Fax (847) 805-8844

Phone(847) 805-8088

Fax(847) 805-8088

Organization SubpartNo

Authorized OfficialLisa Marie SullivanPresident · (847) 805-8088

Enumeration DateJuly 16, 2008

Last NPPES UpdateApril 24, 20254 updates tracked since enumeration

NPPES CertifiedApril 24, 2025

✔ NPI 1790949980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X · License 036107599 (IL)

737 SAINT JOHNS AVE, Highland Park, IL 60035

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Other Names 1

Doing Business AsPanacea Allergy, Asthma & Immunology

Secondary Practice Location 1

Location 119818 Cypress Bridge DrOdessa, FL 33556-4399 · Phone (847) 805-8088 ext. 101 · Fax (847) 805-8844

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Sullivan, Md S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Sullivan, MD S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Sullivan, M.D.

Allergy/Immunology

NPI 1386650273

737 SAINT JOHNS AVE
Highland Park, IL 60035

(847) 805-8088

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Lisa Sullivan, MD S.C.'s NPI number?

The NPI number for Lisa Sullivan, MD S.C. is 1790949980. It was assigned to this organization in the NPPES registry on July 16, 2008. The provider is doing business as PANACEA Allergy, Asthma & Immunology.

Where is Lisa Sullivan, MD S.C. located?

Lisa Sullivan, MD S.C. is located at 737 Saint Johns Ave, Highland Park, IL 60035. The listed phone number is (847) 805-8088.

What is Lisa Sullivan, MD S.C.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Lisa Sullivan, MD S.C. enrolled in Medicare?

Yes. Lisa Sullivan, MD S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lisa Sullivan, MD S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Lisa Sullivan, MD S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Sullivan, MD S.C. was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.