| Lila Sullivan, | |
|
1810 W South 3rd St, Shelbyville, IL 62565-9595 | |
| (217) 774-2113 | |
| Not Available |
| Full Name | Lila Sullivan |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1810 W South 3rd St, Shelbyville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073884904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 043069581 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lila Sullivan, 1810 W South 3rd St, Shelbyville, IL 62565-9595 Ph: (217) 774-2113 | Lila Sullivan, 1810 W South 3rd St, Shelbyville, IL 62565-9595 Ph: (217) 774-2113 |
Dana Jones, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1810 W South 3rd St, Shelbyville, IL 62565 Phone: 217-774-2113 | |
Ms. Stephanie Javue Burrell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1810 W S 3rd St, Shelbyville, IL 62565 Phone: 217-774-2113 Fax: 217-774-2256 | |
Courtney Nichols, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1810 W South 3rd St, Shelbyville, IL 62565 Phone: 217-774-2113 |