Supreme MD Inc.
NPI 1366032724 · Geriatric Medicine (Family Medicine) Physician · Chicago, IL
Supreme MD Inc. is a Geriatric Medicine (Family Medicine) Physician organization in Chicago, IL (NPI 1366032724).
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
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Supreme MD
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Supreme MD Inc.'s NPI number?
- Supreme MD Inc.'s National Provider Identifier (NPI) is 1366032724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme MD Inc.?
- Supreme MD Inc. is classified in the NPPES registry as Geriatric Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Supreme MD Inc. located?
- Supreme MD Inc.'s practice location on file with NPPES is 5737 N Talman Ave Apt 2, Chicago, IL 60659-5097.
- What is Supreme MD Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Supreme MD Inc. is (773) 329-6545.
- Who is the authorized official for Supreme MD Inc.?
- The authorized official listed on Supreme MD Inc.'s NPPES record is Cesario Boligor, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme MD Inc.'s NPI active?
- Yes — Supreme MD Inc.'s NPI (1366032724) is active in the NPPES registry as of the last update on 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.