Supriya Sullivan

NPI #1942868658 in Springfield, Illinois

Provider Information

NPI Number: 1942868658
Entity Type: Individual
Name: Supriya Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Enumeration Date: May 29, 2019
Last Updated: May 4, 2025

Practice Location

Address: 701 N 1ST ST STE D308
City: Springfield
State: Illinois
ZIP Code: 62702-3757
Phone: (217) 545-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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