Search › Illinois › 208600000X
Supriya Sullivan
NPI 1942868658 · on the registry since 2019
Practice
- Address
- 701 N 1st St Ste D308
Springfield, IL 62702 - Phone
- (217) 545-4401
- Fax
- (217) 545-1793
- Organisation at this address
- Memorial Home Services
Memorial Home Services
Memorial Medical Center
Memorial Medical Center
Memorial Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 449
Additional practice sites
- 200 Hawkins Dr, Iowa City, IA
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- IA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois