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MICHELLE L SULLIVAN DO PC
NPI 1891983417
General Practice in Joliet, IL

Active since October 09, 2007
1300 COPPERFIELD AVE, SUITE 1020, JOLIET, IL 60432(877) 905-0336(877) 905-0336 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle L Sullivan Do Pc NPPES

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

MICHELLE L SULLIVAN DO PC (NPI 1891983417) is a healthcare organization registered as a general practice in Joliet, Illinois and active in the NPI registry since October 2007. The organization lists Michelle Sullivan, Owner, as its authorized official.

NPPES Registry Identity

NPI1891983417
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMICHELLE L SULLIVAN DO PC
Location Address1300 COPPERFIELD AVE, SUITE 1020Joliet, IL 60432-2004
Mailing Address1300 Copperfield Ave, Suite 1020Joliet, IL 60432-2004 · (877) 905-0336 · Fax (877) 905-0336
Phone(877) 905-0336
Fax(877) 905-0336
Organization SubpartNo
Authorized OfficialMichelle SullivanOwner · (877) 905-0336
Enumeration DateOctober 9, 2007
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1891983417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1300 COPPERFIELD AVE, Joliet, IL 60432
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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)

Michelle L Sullivan Do Pc 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 Michelle L Sullivan Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michelle Sullivan, D.O.
Family Practice
NPI 1659351070
18210 LA GRANGE RD SUITE 110
Tinley Park, IL 60477
(708) 478-2500
✔ PECOS✔ Accepts Medicare10 mi

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 Michelle L Sullivan Do PC's NPI number?

The NPI number for Michelle L Sullivan Do PC is 1891983417. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Michelle L Sullivan Do PC located?

Michelle L Sullivan Do PC is located at 1300 Copperfield Ave Suite 1020, Joliet, IL 60432. The listed phone number is (877) 905-0336.

What is Michelle L Sullivan Do PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michelle L Sullivan Do PC enrolled in Medicare?

Yes. Michelle L Sullivan Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle L Sullivan Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Michelle L Sullivan Do PC. 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 Michelle L Sullivan Do PC was last updated on February 5, 2008. 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.