Supple, Margaret Anne

Supple, Margaret Anne is an sole proprietor health care provider with primary practice located at 3800 Highland Ave Suite 104, Downers Grove IL 60515-1557. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Supple, Margaret Anne can be contacted via phone (630) 969-8090.

Contact Information

Primary practice address
3800 Highland Ave Suite 104 Downers Grove IL 60515-1557
Phone: (630) 969-8090
Fax: (630) 969-8087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036046360 Illinois

Profile Details

NPI number 1740274851
LBN Legal business name Supple, Margaret Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Dec 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740274851 NPPES
Illinois MEDICAID 036046360

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