Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAD L SUPRENANT, DO
ActiveDR. BRAD L SUPRENANT, DO is a Clinical Cardiac Electrophysiology healthcare provider located in KANKAKEE, Illinois. NPI 1760467377 is currently active in the NPPES registry. Verify at CMS.
Clinical Cardiac Electrophysiology · KANKAKEE, IL
Registration Details
- NPI Number
- 1760467377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2005 (20.538869916277 yrs)
- Last Updated
- Mar 29, 2021
- Licenses
-
02001098A (IN)036071427 (IL)
Practice Information
- Address
-
500 N WALL STKANKAKEE, IL, 609012942Browse IL providers · Browse ZIP 60901
- Phone
- 8444044787
- Fax
- 8159363243
- Primary Specialty
-
Clinical Cardiac Electrophysiology
207RC0001X
- Additional Specialty
- Clinical Cardiac Electrophysiology
Other Clinical Cardiac Electrophysiology Providers in KANKAKEE, IL
| Name | Credential | NPI |
|---|---|---|
| ABHIMANYU BERI | MD | 1336339381 |
| VIVEK VANKAYALA REDDY | M.D. | 1396131835 |
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.