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

Dr. Brad L Suprenant, DO

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1760467377

Dr. Brad L Suprenant, DO is a Clinical Cardiac Electrophysiology Physician in Kankakee, Illinois. Works from 3 locations. Licensed in Illinois and Indiana.

Licensed in
IL, IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

500 N Wall St
Kankakee, IL 60901-2942
Phone: (844) 404-4787
Fax: (815) 936-3243
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 375 N Wall St Ste P420, Kankakee, IL 60901 — (815) 939-9400
  • 1490 E Walnut St Ste A, Watseka, IL 60970-1806 — (815) 432-7693

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 036071427 (IL)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 02001098A (IN)

Record details

NPI number1760467377
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021
Mailing address500 N Wall St, Kankakee, IL 60901-2942

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