EDWARD SUPAN, PA-C

PA-C

Physician Assistant

NPI: 1477013407IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085007043(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2018

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Contact & Hours

Address: 635 N DEARBORN ST
CHICAGO, IL 60654
Phone: (312) 694-2273

Quick Facts

NPI: 1477013407
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 8

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