IndividualActive
Brad Suprenant, DO
NPI 1760467377 · Clinical Cardiac Electrophysiology Physician · Kankakee, IL
Provider details
- NPI number
- 1760467377
- Entity type
- Individual
- Primary specialty
- Clinical Cardiac Electrophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 02001098A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
500 N Wall St
Kankakee, IL 60901-2942
Phone: (844) 404-4787
Fax: (815) 936-3243
Approximate (ZIP-level) locationGet directions
Mailing address
500 N Wall St
Kankakee, IL 60901-2942
Additional practice locations (2)
- 375 N Wall St Ste P420Kankakee, IL 60901Phone: (815) 939-9400Fax: (815) 939-9494
- 1490 E Walnut St Ste aWatseka, IL 60970-1806Phone: (815) 432-7693Fax: (815) 936-7228
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2021-03-29
- Certified
- 2021-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.