IndividualActive
Kyle Sullivan
NPI 1083035877 · Surgical Technologist · Libertyville, IL
Provider details
- NPI number
- 1083035877
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 238-000395 (IL)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
720 Florsheim Dr
Libertyville, IL 60048-3757
Phone: (847) 247-4000
Approximate (ZIP-level) locationGet directions
Mailing address
900 Rand Rd
Des Plaines, IL 60016-2359
Registry dates
- Enumerated
- 2013-12-20
- Last updated
- 2013-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.