MEDICARE: MEGHAN DOEPKE SULLIVAN CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	209017049	IL

General Provider Information

NPI Number	:	1487160586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN DOEPKE SULLIVAN CPNP-PC

Provider Business Mailing Address
First Line	:	3522 N RACINE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-7890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 N CLARK ST STE 400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60610-5468
Country	:	US
Telephone Number	:	312-943-6964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	12/27/2017

Similar Medicare Providers

1346808243 — DR. AASHKA PATEL DO
Practice Location Address:

1030 N CLARK ST STE 400
CHICAGO, IL
60610-5468

Practice Phone: 312-943-6964
Practice Fax:

1477403152 — HANDS ON HOLISTIC HEALTH PLLC
Practice Location Address:

1401 E 55TH ST APT 905N
CHICAGO, IL
60615-5468

Practice Phone: 773-413-8443
Practice Fax:

1316687650 — TIMETRA DIANE CLARK FNP-BC
Practice Location Address:

1401 E 55TH ST APT 905N
CHICAGO, IL
60615-5468

Practice Phone: 708-759-3112
Practice Fax:

1659136844 — KASHYNA DRISDELL
Practice Location Address:

5952 W FILLMORE ST
CHICAGO, IL
60644-5468

Practice Phone: 872-724-9154
Practice Fax:

1487172425 — SOPHIA JELSMA
Practice Location Address:

213 W INSTITUTE PL STE 500
CHICAGO, IL
60610-8792

Practice Phone: 312-285-0740
Practice Fax:

1316779671 — THERAPY ATLAS, PLLC
Practice Location Address:

213 W INSTITUTE PL STE 500
CHICAGO, IL
60610-8792

Practice Phone: 312-285-0740
Practice Fax:

Directions to “ MEGHAN DOEPKE SULLIVAN CPNP-PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.