Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Supreme MD Inc

Organization Family Medicine Physician · NPI 1366032724

Supreme MD Inc is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5737 N Talman Ave Apt 2
Chicago, IL 60659-5097
Phone: (773) 329-6545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Home Infusion Agency Taxonomy 251F00000X

Record details

NPI number1366032724
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cesario Boligor — Ceo · (773) 329-6545
Other names Supreme Md
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address5737 N Talman Ave Apt 2, Chicago, IL 60659-5097

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