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

Supriya Sullivan

Individual provider Surgery Physician · NPI 1942868658

Supriya Sullivan is a Surgery Physician in Springfield, Illinois. Works from 2 locations. Licensed in Iowa and Illinois.

Licensed in
IA, IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

701 N 1st St Ste D308
Springfield, IL 62702-3757
Phone: (217) 545-4401
Fax: (217) 545-1793
Show map & directions

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

Additional practice locations (1)

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 — (319) 353-7227

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125074249 (IL)
Surgery Physician Taxonomy 208600000X · Licence MD-64865 (IA)

Record details

NPI number1942868658
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2019
Last updated in NPPESMay 4, 2025
Certification dateMay 4, 2025
Mailing addressPo Box 19638, Springfield, IL 62794-9638

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