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Maggie Sullivan
NPI 1629507413 · on the registry since 2017
Practice
- Address
- 1095 N. Meridian Road
Harristown, IL 62537 - Phone
- (217) 963-2621
Additional practice sites
- 411 E Washington St, East Peoria, IL
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois