Stephen Supple, MD
Stephen Supple, MD is a Diagnostic Radiology in Kankakee, Illinois. Graduated from Chicago College of Medicine and Surgery in 2017, 9 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 9
- Trained at
- Chicago College of Medicine and Surgery
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
350 N Wall StKankakee, IL 60901-2901
Phone: (815) 933-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 036152897 (IL) |
|---|---|
| Vascular & Interventional Radiology Physician | Taxonomy 2085R0204X · Licence 036-152897 (IL) |
Record details
| NPI number | 1225565054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
| Mailing address | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduated | 2017 (9 years in practice) |
| Group practice | Central Illinois Radiological Associates Ltd — 204 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 35 on file with Medicare |
Other providers in Kankakee
-
Dr. Vaishak Amblee, MD
350 N Wall St, Kankakee, IL 60901-2991 · (815) 933-1671
-
Arun K Jagannathan, MD
350 N Wall St, Kankakee, IL 60901-2991 · (815) 933-7671
-
Jeffery P Mendell, MD
350 N Wall St, Kankakee, IL 60901-2991 · (815) 933-1671