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Contact Information

SULLIVAN A AYUSO, MD
2650 RIDGE AVE.
WALGREEN 2507
EVANSTON, IL60201-1718
 Phone: 847-570-2560
 Fax: 847-570-2930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SULLIVAN A AYUSO · (Male)

NPI Number 1194220921
Status Active
Credentials MD
Entity Individual
Enumeration date 03/25/2018
Last updated 07/15/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 036169491
Hospital affiliation(s) Not Available
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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