Supreme Md Inc.

LBN: Supreme Md Inc.
Supreme Md Inc. is an health care organization with primary practice located at 5737 N Talman Ave Apt 2 , Chicago IL 60659-5097. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Agencies / Home Infusion. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Supreme Md Inc. can be contacted via phone (773) 329-6545, or through Boligor, Cesario via phone (773) 329-6545.

Contact Information

Primary practice address
5737 N Talman Ave Apt 2 Chicago IL 60659-5097
Phone: (773) 329-6545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boligor, Cesario
Phone: (773) 329-6545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Agencies / Home Infusion 251F00000X

Profile Details

NPI number 1366032724
LBN Legal business name Supreme Md Inc.
DBA Doing business as
Authorized official Boligor, Cesario
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2021
Last updated Jan 20th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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