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

Mr. Jerry L. Sullivan Jr., ATC

Individual provider Athletic Trainer · NPI 1306909551

Mr. Jerry L. Sullivan Jr., ATC is an Athletic Trainer in Springfield, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

3631 S Sixth St
Springfield, IL 62703
Phone: (217) 341-4955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (IL)

Record details

NPI number1306909551
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedDecember 19, 2006
Last updated in NPPESJuly 8, 2007

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