OrganizationActive
Mary Lynn Sullivan, M.d.p.c.
NPI 1104074806 · Clinic/Center · Oak Lawn, IL
Provider details
- NPI number
- 1104074806
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Sullivan, President(708) 499-4190
- License
- 036077688 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5660 W 95th St
Suite 5
Oak Lawn, IL 60453-2380
Phone: (708) 499-4190
Fax: (708) 857-4427
Street-level locationGet directions
Mailing address
5660 W 95th St
Oak Lawn, IL 60453-2380
Registry dates
- Enumerated
- 2008-09-05
- Last updated
- 2008-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.