Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. OTHRESSA SULLIVAN, CRANIAL PROTHESIS SP
Active Sole ProprietorMS. OTHRESSA SULLIVAN, CRANIAL PROTHESIS SP is a Prosthetic/Orthotic Supplier healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1760283816 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1760283816
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2025 (1.203968917953 yrs)
- Last Updated
- Mar 24, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
15606 WOODLAWN EAST AVESOUTH HOLLAND, IL, 604731834Browse IL providers · Browse ZIP 60473
- Phone
- 6302513838
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.