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Contact Information

DONALD N SULLIVAN, MD
104 ASHLAND
MOUNT ZION, IL62549
 Phone: 217-864-2665
 Fax: 217-864-8042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DONALD N SULLIVAN · (Male)

NPI Number 1154511517
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2007
Last updated 07/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 125-052745
Hospital affiliation(s)
  • DECATUR MEMORIAL HOSPITAL - (Acute Care)
    2300 NORTH EDWARD STREET
    DECATUR, IL 62526
  • JOHN & MARY KIRBY HOSPITAL - (Critical Access)
    1111 N STATE ST
    MONTICELLO, IL 61856
  • PANA COMMUNITY HOSPITAL - (Critical Access)
    101 E NINTH STREET
    PANA, IL 62557
  • SHELBY MEMORIAL HOSPITAL - (Acute Care)
    200 S CEDAR ST
    SHELBYVILLE, IL 62565
  • ST MARYS HOSPITAL - (Acute Care)
    1800 E LAKE SHORE DR
    DECATUR, IL 62521
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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