KENNETH P SULLIVAN (MD) – Neuroradiology Physician, NPI 1619929478

KENNETH P SULLIVAN (MD) is a healthcare provider. based in Deerfield, Illinois. specializing in Neuroradiology Physician. They hold the professional credentials MD. The NPI Number for KENNETH P SULLIVAN (MD) is 1619929478

Main info

Male
Name
KENNETH P SULLIVAN (MD)
NPI
1619929478
Phone
(847) 945-4550
Address
1121 LAKE COOK ROAD
Enumeration Date
17 May 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for KENNETH P SULLIVAN (MD)

  • Lake Cook Road, Deerfield, Northfield Township, Cook County, Illinois, 60015, United States

    SUITE M

    DEERFIELD, IL 600155234

    Phone: (847) 945-4550

    Fax: (847) 948-8103

    Type: Mailing

  • South Randall Road, Geneva, Geneva Township, Kane County, Illinois, 60134, United States

    RANDALL SQUARE SHOPPING CENTER

    GENEVA, IL 601344682

    Phone: (630) 208-9325

    Fax: (630) 208-9326

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60015)

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Reviews

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Frequently asked questions

What number should I use to identify KENNETH P SULLIVAN (MD) for billing?
Administrative and clinical systems typically use NPI 1619929478 for KENNETH P SULLIVAN (MD).
Does the public listing show KENNETH P SULLIVAN (MD) as active?
KENNETH P SULLIVAN (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits KENNETH P SULLIVAN (MD)?
NPPES ties KENNETH P SULLIVAN (MD) to Neuroradiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit KENNETH P SULLIVAN (MD) in Deerfield, Illinois?
For routing, start with Deerfield, Illinois for KENNETH P SULLIVAN (MD), then verify phone and hours locally.
Why is information missing for KENNETH P SULLIVAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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