| NPI | 1366032724 |
|---|---|
| Doing Business As | SUPREME MD |
| Entity Type | Organization |
| Authorized Contact | CESARIO BOLIGOR CEO 773-329-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 251F00000X Home Infusion | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |