Lisa Sullivan, MD S.c.
NPI 1790949980 · Allergy & Immunology Physician · Highland Park, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Sullivan, MD S.c. is a Allergy & Immunology Physician organization in Highland Park, IL (NPI 1790949980).
Provider details
- NPI number
- 1790949980
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Sullivan, President(847) 805-8088
- License
- 036107599 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Ambulatory Health Care Facilities
Profile Score
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
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Panacea Allergy, Asthma & Immunology
Additional practice locations (1)
- 19818 Cypress Bridge DrOdessa, FL 33556-4399Phone: (847) 805-8088Fax: (847) 805-8844
Registry dates
- Enumerated
- 2008-07-16
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Lisa Sullivan, MD S.c.'s NPI number?
- Lisa Sullivan, MD S.c.'s National Provider Identifier (NPI) is 1790949980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lisa Sullivan, MD S.c.?
- Lisa Sullivan, MD S.c. is classified in the NPPES registry as Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Lisa Sullivan, MD S.c. located?
- Lisa Sullivan, MD S.c.'s practice location on file with NPPES is 737 Saint Johns Ave, Highland Park, IL 60035-4650.
- What is Lisa Sullivan, MD S.c.'s phone number?
- The practice phone number listed in the NPPES registry for Lisa Sullivan, MD S.c. is (847) 805-8088.
- Does Lisa Sullivan, MD S.c. accept Medicare?
- Lisa Sullivan, MD S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lisa Sullivan, MD S.c.?
- The authorized official listed on Lisa Sullivan, MD S.c.'s NPPES record is Lisa Sullivan, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lisa Sullivan, MD S.c.'s NPI active?
- Yes — Lisa Sullivan, MD S.c.'s NPI (1790949980) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.