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VIVID CRANIAL PROSTHETICS
NPI 1043167927
Durable Medical Equipment & Medical Supplies in Crete, IL

Active since March 11, 2026
25615 S SUSAN LN, CRETE, IL 60417(312) 273-8826 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vivid Cranial Prosthetics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVID CRANIAL PROSTHETICS (NPI 1043167927) is a healthcare organization registered as a durable medical equipment & medical supplies in Crete, Illinois and active in the NPI registry since March 2026. The organization lists Ava Selmon Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1043167927
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameVIVID CRANIAL PROSTHETICS
Location Address25615 S SUSAN LNCrete, IL 60417-4276
Mailing Address25615 S Susan LnCrete, IL 60417-4276
Phone(312) 273-8826
Organization SubpartNo
Authorized OfficialAva Selmon GreenOwner · (312) 273-8826
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1043167927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
25615 S SUSAN LN, Crete, IL 60417
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivid Cranial Prosthetics's NPI number?

The NPI number for Vivid Cranial Prosthetics is 1043167927. It was assigned to this organization in the NPPES registry on March 11, 2026.

Where is Vivid Cranial Prosthetics located?

Vivid Cranial Prosthetics is located at 25615 S Susan Ln, Crete, IL 60417. The listed phone number is (312) 273-8826.

What is Vivid Cranial Prosthetics's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Vivid Cranial Prosthetics was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.