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

Individual provider Occupational Therapy Assistant · NPI 1235901620

Savannah Nicole Sullivan is an Occupational Therapy Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
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Practice location Address checks out

7800 S Kenton Ave
Chicago, IL 60652-1131
Phone: (312) 801-0552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 32003839A (IN)

Record details

NPI number1235901620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 27, 2023
Last updated in NPPESFebruary 25, 2024
Certification dateFebruary 25, 2024

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