Organization
Lisa Sullivan, MD S.c.
Provider's NPPES record last updated: April 24, 2025
Overview
- Entity Type
- Organization
- NPI
- 1790949980
- Primary Specialty
- Allergy & Immunology
- Practice Location
- Highland Park, Illinois
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 11:21 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Allergy & Immunology
Allopathic & Osteopathic Physicians
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Taxonomy code 207K00000X Clinic/Center
Medical Specialty
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Taxonomy code 261QM2500X
Provider-Reported License Information
- Clinic/Center (Illinois)
- 036107599
Practice Locations
Practice Location
737 Saint Johns Ave
Highland Park, Illinois 60035-4650
Phone: (847) 805-8088
Additional Practice Location
19818 Cypress Bridge Dr
Odessa, Florida 33556-4399
Phone: (847) 805-8088
Fax: (847) 805-8844
Other Names
- Panacea Allergy, Asthma & ImmunologyReported April 28, 2020
Record Information
- Enumeration Date
- July 16, 2008
- Provider's NPPES Record Last Updated
- April 24, 2025
- Certification Date
- April 24, 2025
- NPISignal NPPES Dataset
- August 2026
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