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

Kyle Sullivan

Individual provider Surgical Technologist · NPI 1083035877

Kyle Sullivan is a Surgical Technologist in Libertyville, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013

Practice location Address checks out

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone: (847) 247-4000
Show map & directions

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

Specialties & licences

Surgical Technologist (primary) Taxonomy 246ZS0410X · Licence 238-000395 (IL)

Record details

NPI number1083035877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 20, 2013
Last updated in NPPESDecember 20, 2013
Mailing address900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359

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