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Deactivated NPI 1285625541 Deactivated / Inactive NPI Male Practitioner

William Michael Sullivan , MS, ATC

Specialist/Technologist - Athletic Trainer • 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, William Sullivan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 04, 2005
NPI Deactivation Date January 02, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

William Sullivan, MS, ATC was a registered Specialist/Technologist - Athletic Trainer practicing in Joliet, IL. Throughout an active medical career spanning 14 years, William Sullivan provided care at the practice location at 3114 HILLARY CT until profile deactivation on 2019-01-02.

Practice Location & Contact Primary Location

Practice Address

3114 Hillary Ct

Joliet, IL 604359040

Telephone 6308530820

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Joliet, IL (1955 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

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IL 096-001747

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

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 January 02, 2019

Record deactivated on January 02, 2019

NPI Profile Active March 02, 2014

NPI status registered as active in NPPES database

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Updated Practice Location March 02, 2014

Registered at 3114 HILLARY CT, JOLIET, IL 604359040 (Tel: 6308530820)

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Updated Business Mailing Address March 02, 2014

Registered at 3114 HILLARY CT, JOLIET, IL 604359040 (Tel: 6308530820)

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Provider Name / Credentials Updated March 02, 2014

Recorded as WILLIAM SULLIVAN, MS, ATC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2014

Specialist/Technologist (License #096-001747 in IL)

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Initial NPI Registration & Enumeration November 04, 2005

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: 1285625541
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2005
Last Update: March 02, 2014
Deactivation Date: January 02, 2019

Mailing Address

3114 Hillary Ct

Joliet, IL 604359040

Phone: 6308530820

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.