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STACEY LYNN SULLIVAN CMA
NPI 1891866646
Physician Assistant - Medical in Chicago, IL

Active since November 13, 2006
1725 W HARRISON ST, SUITE 408, CHICAGO, IL 60612(312) 997-2229(312) 666-4163 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Lynn Sullivan Cma NPPES

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

STACEY LYNN SULLIVAN CMA (NPI 1891866646) is an individual medical provider in Chicago, Illinois and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1891866646
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACEY LYNN SULLIVANCredential: CMA
Location Address1725 W HARRISON ST, SUITE 408Chicago, IL 60612
Mailing Address1646 S 57th CtCicero, IL 60804 · (773) 936-8105
Phone(312) 997-2229
Fax(312) 666-4163
Sole ProprietorNo
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891866646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1725 W HARRISON ST, Chicago, IL 60612
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Other Identifiers 1

Other1616020IL · Bc/bs

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.

DR. MARTA BATUS MD
Internal Medicine (Medical Oncology)
1725 W HARRISON ST, SUITE 809
CHICAGO, IL 60612
Cook County (312) 563-2487
KM WILLIAMS MD SC
Clinic/Center (Ophthalmologic Surgery)
1725 W HARRISON ST, STE 910
CHICAGO, IL 60612
Cook County (312) 622-7320
KENNETH M BOYER M.D.
Pediatrics (Pediatric Infectious Diseases)
1725 W HARRISON ST, SUITE 710
CHICAGO, IL 60612
Cook County (312) 942-3034
RUSH UNIVERSITY MEDICAL CENTER
Internal Medicine (Hematology)
1725 W HARRISON ST, SUITE 1010
CHICAGO, IL 60612
Cook County (312) 942-5904
DAVID ANSELL M.D.
Internal Medicine
1725 W HARRISON ST, SUITE 263
CHICAGO, IL 60612
Cook County (312) 942-6700
MIDWEST NEUROPSYCHIATRIC ASSOC LTD
Specialist
1725 W HARRISON ST, SUITE 744
CHICAGO, IL 60612
Cook County (312) 942-0118
JANICE DIESCHBOURG M.D.
Radiology (Diagnostic Radiology)
1725 W HARRISON ST, SUITE 155
CHICAGO, IL 60612
Cook County (312) 563-3269
AFFILIATED UROLOGISTS, LTD
Specialist
1725 W HARRISON ST, SUITE 762
CHICAGO, IL 60612
Cook County (312) 563-3447

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 Stacey Sullivan's NPI number?

The NPI number for Stacey Sullivan is 1891866646. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Stacey Sullivan located?

Stacey Sullivan practices at 1725 W Harrison St Suite 408, Chicago, IL 60612. The listed phone number is (312) 997-2229.

What is Stacey Sullivan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Stacey Sullivan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.