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Dr. Brad L Suprenant, DO
Clinical Cardiac Electrophysiology Physician in Kankakee, Illinois
NPI 1760467377

Brad L Suprenant is a Clinical Cardiac Electrophysiology Physician based in Kankakee, IL and is specialized in Clinical Cardiac Electrophysiology. Brad L Suprenant practices in Kankakee, IL and has the professional credentials of DO. The NPI Number for Brad L Suprenant is 1760467377 and holds a License No. 02001098A (Illinois).

The current practice location address for Brad L Suprenant is 500 N Wall St, Kankakee, IL and can be reached out via phone at 844-404-4787 and via fax at 815-936-3243.

Location: 500 N Wall St, Kankakee, IL, 60901-2942
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760467377
Provider Name
Brad L Suprenant
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
500 N Wall St, Kankakee, IL, 60901-2942
Phone Number
844-404-4787
Fax Number
815-936-3243
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036071247 05 IL
060030169 01 RR MEDICARE
000000095316 01 IN ANTHEM PIN
institution
Provider Business Practice Location Address Details
Address
500 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2942
Phone Number
844-404-4787
Fax Number
815-936-3243
person
Provider Business Mailing Address Details
Address
500 N Wall St
City
Kankakee
State
Illinois
Zip
60901-2942
Phone Number
844-404-4787
Fax Number
815-936-3243
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
02001098A (Indiana)
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.
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