Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TERRY J SUPAN, CPO
ActiveMR. TERRY J SUPAN, CPO is a Orthotist healthcare provider located in SPRINGFIELD, Illinois. NPI 1366461410 is currently active in the NPPES registry. Verify at CMS.
Orthotist · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1366461410
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.029628054413 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
355 W CARPENTER STREETSUITE BSPRINGFIELD, IL, 627024945Browse IL providers · Browse ZIP 62702
- Phone
- 2177891450
- Fax
- 2177891454
- Primary Specialty
-
Orthotist
222Z00000X
- Additional Specialty
- Pulmonary Function Technologist
Other Orthotist Providers in SPRINGFIELD, IL
| Name | Credential | NPI |
|---|---|---|
| MR. DARYL G BARTH | CPO | 1184643231 |
| GEZA F KOGLER | PHD | 1710099882 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.