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Stephen Supple, MD
Diagnostic Radiology Physician in Kankakee, Illinois
NPI 1225565054

Stephen Supple is a Diagnostic Radiology Physician based in East Peoria, IL and is specialized in Diagnostic Radiology. Stephen Supple practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Stephen Supple is 1225565054 and holds a License No. 036-152897 (Illinois).

The current practice location address for Stephen Supple is 350 N Wall St, Kankakee, IL and can be reached out via phone at 815-933-1671.

Location: 350 N Wall St, Kankakee, IL, 61611-1853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225565054
Provider Name
Stephen Supple
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
350 N Wall St, Kankakee, IL, 61611-1853
Phone Number
815-933-1671
Fax Number
Provider Enumeration Date
05/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
person
Provider Business Mailing Address Details
Address
350 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2901
Phone Number
815-933-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036152897 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
036-152897 (Illinois)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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