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

Stacey Lynn Sullivan, CMA

Individual provider Medical Physician Assistant · NPI 1891866646

Stacey Lynn Sullivan, CMA is a Medical Physician Assistant in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1725 W Harrison St Ste 408
Chicago, IL 60612
Phone: (312) 997-2229
Fax: (312) 666-4163
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1891866646
Entity typeIndividual (Type 1)
GenderFemale
Credentials CMA
Sole proprietorNo
NPI enumeratedNovember 13, 2006
Last updated in NPPESJuly 8, 2007

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