Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD JOHN SUPAN, PA-C
ActiveEDWARD JOHN SUPAN, PA-C is a Physician Assistant healthcare provider located in CHICAGO, Illinois. NPI 1477013407 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CHICAGO, IL
Registration Details
- NPI Number
- 1477013407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.3804968410685 yrs)
- Last Updated
- May 1, 2019
- License
-
085007043 (IL)
Practice Information
- Address
-
635 N DEARBORN STCHICAGO, IL, 606544618Browse IL providers · Browse ZIP 60654
- Phone
- 3126942273
- Fax
- 3126942129
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CHANDRIKA SHAH | PA | 1114928884 |
| JACK C. ENTER JR. | PA-C | 1366444184 |
| CASEY ANN MORAN | PA-C | 1740277441 |
| MS. SHANNON J HOBBS | PA-C | 1902893043 |
| MS. HONG HOLLY ZHANG | PA-C | 1609863620 |
| JENNIFER A CENTORE-LOBER | PA C | 1932198322 |
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.