Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sullivan Medical Square, Inc

Organization General Practice Physician · NPI 1033403282

Sullivan Medical Square, Inc is a General Practice Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 S Kedzie Ave
Chicago, IL 60612-2705
Phone: (773) 638-2651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 03612661 (IL)

Record details

NPI number1033403282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Murray — Owner · (773) 638-2651
NPI enumeratedJune 6, 2011
Last updated in NPPESAugust 14, 2013
Mailing address15 S Kedzie Ave, Chicago, IL 60612-2705

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