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

Dr. Ian Wright Sullivan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811384613

Dr. Ian Wright Sullivan, DO is an Interventional Radiology in Maywood, Illinois. Qualified in 2015, 11 years ago. Practices with Pratt Radiology Associates Inc, a 55-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-5306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036.152223 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811384613
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 20, 2015
Last updated in NPPESJune 7, 2020
Certification dateJune 7, 2020
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pratt Radiology Associates Inc — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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