BRAD L SUPRENANT

KANKAKEE, IL
NPI1760467377
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: IL  036071427)
Additional Taxonomies207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology
(Licence: IN  02001098A)
Enumeration Date2005-12-07
Last Update Date2021-03-29
Business Address
Dr. BRAD L SUPRENANT DO
500 N WALL ST
KANKAKEE, IL 60901-2942
Phone number: 844-404-4787
Mailing Address
Dr. BRAD L SUPRENANT DO
500 N WALL ST
KANKAKEE, IL 60901-2942
Phone number: 844-404-4787