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

Kenneth P Sullivan, MD

Individual provider Neuroradiology Physician · NPI 1619929478

Kenneth P Sullivan, MD is a Neuroradiology Physician in Geneva, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1416C S Randall Road Randall Square Shopping Ctr
Geneva, IL 60134-4682
Phone: (630) 208-9325
Fax: (630) 208-9326
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuroradiology Physician (primary) Taxonomy 2085N0700X (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X (IL)

Record details

NPI number1619929478
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1121 Lake Cook Road, Suite M, Deerfield, IL 60015-5234