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

MS. Othressa Sullivan, CRANIALPROTHESISSP

Individual provider Prosthetic/Orthotic Supplier · NPI 1760283816

MS. Othressa Sullivan, CRANIALPROTHESISSP is a Prosthetic/Orthotic Supplier in South Holland, Illinois. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

15606 Woodlawn East Ave
South Holland, IL 60473-1834
Phone: (630) 251-3838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1760283816
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRANIALPROTHESISSP
Sole proprietorYes
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 20, 2025