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SUPREME MD INC.
NPI 1366032724
Family Medicine - Geriatric Medicine in Chicago, IL

Active since January 20, 2021
5737 N TALMAN AVE APT 2, CHICAGO, IL 60659(773) 329-6545 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supreme Md Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME MD INC. (NPI 1366032724), doing business as Supreme Md, is a healthcare organization registered as a geriatric medicine in Chicago, Illinois and active in the NPI registry since January 2021. The organization lists Cesario Boligor, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366032724
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameSUPREME MD INC.
Location Address5737 N TALMAN AVE APT 2Chicago, IL 60659-5097
Mailing Address5737 N Talman Ave Apt 2Chicago, IL 60659-5097 · (773) 329-6545
Phone(773) 329-6545
Organization SubpartNo
Authorized OfficialCesario BoligorCeo · (773) 329-6545
Enumeration DateJanuary 20, 2021
NPPES CertifiedJanuary 20, 2021
✔ NPI 1366032724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedHome InfusionTaxonomy 251F00000X
5737 N TALMAN AVE APT 2, Chicago, IL 60659
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Other Names 1

Doing Business AsSupreme Md

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme MD Inc.'s NPI number?

The NPI number for Supreme MD Inc. is 1366032724. It was assigned to this organization in the NPPES registry on January 20, 2021. The provider is doing business as Supreme MD.

Where is Supreme MD Inc. located?

Supreme MD Inc. is located at 5737 N Talman Ave Apt 2, Chicago, IL 60659. The listed phone number is (773) 329-6545.

What is Supreme MD Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

When was this NPI record last updated?

The NPPES record for Supreme MD Inc. was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.