Provider Demographics
NPI:1982797692
Name:KILLION, PAUL SHEEHAN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SHEEHAN
Last Name:KILLION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12255 S 80TH AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-923-7878
Mailing Address - Fax:
Practice Address - Street 1:12255 S 80TH AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-923-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360766412084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL7229POtherCATERPILLAR
IL036076641Medicaid
IL363827229 09OtherJOHN DEERE
IL0991516762OtherBCBS
IL219043OtherMAGELLAN
IL068252OtherVALUE BEHAVIORAL HEALTH
ILL029112OtherCHAMPUS
ILL29517Medicare ID - Type UnspecifiedDUPAGE COUNTY
ILL58629Medicare ID - Type UnspecifiedCOOK COUNTY
ILL029112OtherCHAMPUS