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Deactivated NPI 1467487348 Deactivated / Inactive NPI Male Practitioner

Eddie Sullivan , CRNA

Registered Nurse • Joliet, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eddie Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2006
NPI Deactivation Date October 28, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Eddie Sullivan, CRNA was a registered Registered Nurse practicing in Joliet, IL. Throughout an active medical career spanning 13 years, Eddie Sullivan provided care at the practice location at 333 N MADISON ST until profile deactivation on 2019-10-28.

Practice Location & Contact Primary Location

Practice Address

333 N Madison St

Joliet, IL 60435

Telephone 8157256331
Associated Practice Facility / Clinic
🏢 Haveric Medical Ltd Facility NPI 1881624047

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Joliet, IL (2714 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
NPI 1043278070

Doctor of Medicine (M.D.)

Dr. Syung Paik , MD

Anesthesiology

NPI 1083671226

Doctor of Medicine (M.D.)

NPI 1114985504

Doctor of Medicine (M.D.)

NPI 1164470027

Doctor of Medicine (M.D.)

Dr. Heh Paik , MD

Anesthesiology

NPI 1225095367

Doctor of Medicine (M.D.)

NPI 1285692210

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 28, 2019

Record deactivated on October 28, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 333 N MADISON ST, JOLIET, IL 60435 (Tel: 8157256331)

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Updated Business Mailing Address July 08, 2007

Registered at 333 N MADISON ST, JOLIET, IL 60435 (Tel: 8157256331)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDDIE SULLIVAN, CRNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Registered Nurse

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Initial NPI Registration & Enumeration July 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467487348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2006
Last Update: July 08, 2007
Deactivation Date: October 28, 2019

Mailing Address

333 N Madison St

Joliet, IL 60435

Phone: 8157256331

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.