Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vivid Cranial Prosthetics

Organization Durable Medical Equipment & Medical Supplies · NPI 1043167927

Vivid Cranial Prosthetics is a Durable Medical Equipment & Medical Supplies in Crete, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

25615 S Susan Ln
Crete, IL 60417-4276
Phone: (312) 273-8826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1043167927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ava Selmon Green — Owner · (312) 273-8826
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address25615 S Susan Ln, Crete, IL 60417-4276

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