Brad L Suprenant in Kankakee - Clinical Cardiac Electrophysiology
Brad L Suprenant - NPI 1760467377
Brad L Suprenant is a Clinical Cardiac Electrophysiology in Kankakee, Illinois. Brad L Suprenant practices all healthcare services and medical treatments related to Clinical Cardiac Electrophysiology. The NPI Number for Brad L Suprenant is 1760467377. The last update date is 2021-03-29.
Brad L Suprenant's current location address is 500 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8444044787 and fax number 8159363243. The mailing address for Brad L Suprenant is 500 N Wall St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad L Suprenant |
|---|---|
| Address | 500 N Wall St, Kankakee, Illinois |
| Phone Number | 8444044787 |
| Fax Number | 8159363243 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1760467377 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2021-03-29 |
Provider Mailing Address Detail
| Address | 500 N Wall St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609012942 |
| Phone Number | 8444044787 |
| Fax Number | 8159363243 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Cardiac Electrophysiology |
|---|---|
| Taxonomy | 207Rc0001X |
| Licence No | 02001098A |
|
Definition: A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36071247 | IL | -- | |
| 60030169 | RR MEDICARE | ||
| 95316 | IN | ANTHEM PIN |
Post Comment/ Review Below
What is the unique identifier code issued to Brad L Suprenant by the Centers for Medicare & Medicaid Services?
The Brad L Suprenant has been assigned the NPI (National Provider Identifier) 1760467377. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brad L Suprenant is physically located?
The Brad L Suprenant is physically situated at the following address: 500 N Wall St, Kankakee, IL, 609012942.
What is Brad L Suprenant's area of expertise and its corresponding taxonomy classification?
The Brad L Suprenant's field of specialization is Clinical Cardiac Electrophysiology, and it falls under the taxonomy code 207Rc0001X, which categorizes healthcare providers based on their areas of practice.
When was the Brad L Suprenant's 1760467377 issued?
The Brad L Suprenant's 1760467377 was issued on 2005-12-07.
As of what date was the information regarding Brad L Suprenant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad L Suprenant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-29.
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