| Kenneth P Sullivan, MD | |
|
1416c South Randall Road, Randall Square Shopping Center, Geneva, IL 60134-4682 | |
| (630) 208-9325 | |
| (630) 208-9326 |
| Full Name | Kenneth P Sullivan |
|---|---|
| Gender | Male |
| Speciality | Radiology - Neuroradiology |
| Location | 1416c South Randall Road, Geneva, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619929478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | (Illinois) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth P Sullivan, MD 1121 Lake Cook Road, Suite M, Deerfield, IL 60015-5234 Ph: (847) 945-4550 | Kenneth P Sullivan, MD 1416c South Randall Road, Randall Square Shopping Center, Geneva, IL 60134-4682 Ph: (630) 208-9325 |
Dr. Neelima D Kabre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Randall Rd, Geneva, IL 60134 Phone: 630-262-8554 Fax: 630-208-7363 | |
Kiran Viswanath Talanki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Delnor Hospital, Dept Of Radiology, Geneva, IL 60134 Phone: 630-938-4412 | |
Patrick Francis Para, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1416c S Randall Rd, Randall Square Shopping Center, Geneva, IL 60134 Phone: 630-208-9325 Fax: 630-208-9326 | |
Dr. Kalyana C Poruri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-208-3000 | |
Dr. Sidney U Jain, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 W State St Ste 103e, Geneva, IL 60134 Phone: 630-208-4412 | |
Dr. Michael A Stutz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Randall Rd, Geneva, IL 60134 Phone: 630-262-8554 Fax: 630-208-7363 |