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

Mr. Jared John Sullivan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154933968

Mr. Jared John Sullivan is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

7435 W Talcott Ave
Chicago, IL 60631-3707
Phone: (773) 990-5261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154933968
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2020
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address7435 W Talcott Ave, Chicago, IL 60631-3707

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