Organization
CARDIOSPECIALISTS GROUP LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD L SUPRENANT D.O. (PRESIDENT)
(708) 748-9800
Entity
Organization
Contact information
Practice address
20303 CRAWFORD AVE, SUITE LL3, OLYMPIA FIELDS, IL 60461-1073
(708) 748-9800
(708) 748-9807
Mailing address
20303 CRAWFORD AVE, SUITE LL3, OLYMPIA FIELDS, IL 60461-1073
(708) 748-9800
(708) 748-9807
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036071427
IL
Other
Enumeration date
03/29/2007
Last updated
03/28/2014
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