OrganizationActive
Supreme MD Inc.
NPI 1366032724 · Geriatric Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1366032724
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Cesario Boligor, Ceo(773) 329-6545
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Home Infusion Agency251F00000X
Agencies
Practice location
5737 N Talman Ave Apt 2
Chicago, IL 60659-5097
Phone: (773) 329-6545
Approximate (ZIP-level) locationGet directions
Mailing address
5737 N Talman Ave Apt 2
Chicago, IL 60659-5097
Other names (DBA / former)
- Doing business as
- Supreme MD
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.