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

Therese Eileen Sullivan, PA-C

Individual provider Physician Assistant · NPI 1629265251

Therese Eileen Sullivan, PA-C is a Physician Assistant in Lemont, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

47 Brookside Dr
Lemont, IL 60439-7709
Phone: (630) 257-8428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085003070 (IL)

Record details

NPI number1629265251
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2007
Last updated in NPPESSeptember 27, 2007
Mailing address47 Brookside Dr, Lemont, IL 60439-7709

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