MARGARET ANNE SUPPLE


Address: 3800 Highland Ave, Suite 104, Downers Grove, IL 60515-1557
Phone: 6309698090

MARGARET ANNE SUPPLE (NPI# 1740274851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740274851
Entity Type Individual
Full Name MARGARET ANNE SUPPLE
Other Name PEGGY ANNE SUPPLE
Credential M.D.
Practice Address 3800 Highland Ave
Suite 104
Downers Grove
IL 60515-1557
Practice Telephone 6309698090
Practice Fax Number 6309698087
Mailing Telephone 6309698090
Mailing Fax Number 6309698087
Enumeration Date 2005-09-02
Last Update Date 2008-07-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 036046360 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036046360 05

Office Location

Street Address 3800 HIGHLAND AVE
SUITE 104
City DOWNERS GROVE
State IL
Zip Code 60515-1557

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538167168 Todd Arthur Robert Optometrist 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 2005-07-08
1285024281 Sara Banuelos D.d.s Sc Dentist 3800 Highland Ave, Suite 108, Downers Grove, IL 60515-1557 2015-01-28
1316353881 Midwest Plastic Surgery Institute, Inc. Plastic Surgery 3800 Highland Ave, Suite 106, Downers Grove, IL 60515-1557 2014-07-06
1043566870 Hardesty Eye Care Associates LLC Optometrist 3800 Highland Ave, Suite 100, Downers Grove, IL 60515-1557 2012-07-30
1831475466 Western Dupage Ob/gyn Physician Assistant 3800 Highland Ave, Downers Grove, IL 60515-1557 2011-10-27
1700018710 Downers Grove Geriatrics LLC Internal Medicine 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 2009-08-10
1295997104 Louis Raymond A Jison Optometrist 3800 Highland Ave, Downers Grove, IL 60515-1557 2008-07-01
1487841904 Harold Jaimes, M.d., S.c. Internal Medicine 3800 Highland Ave, Suite 111, Downers Grove, IL 60515-1557 2007-09-28
1477632818 Ronald Clyde Freeman Dentist 3800 Highland Ave, Suite #109, Downers Grove, IL 60515-1557 2006-11-05
1063410033 Linda S Weil Optometrist 3800 Highland Ave, Ste. 100, Downers Grove, IL 60515-1557 2005-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811594906 Everyday Empowered Clinical Services, Ltd. Community/Behavioral Health 5117 Main St, Suite #7, Downers Grove, IL 60515 2020-10-02
1588122568 Jennifer Solis-english Family Medicine Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 2019-03-07
1679039358 Remedi Seniorcare of Chicago, LLC Pharmacy 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 2019-02-18
1639651094 Ann Marie Olson Occupational Therapy Assistant 3450 Saratoga Ave., Downers Grove, IL 60515 2018-09-02
1598242802 Angela Gathings Nurse Practitioner 1020 31st St, Downers Grove, IL 60515 2018-07-20
1013408194 Amer Shammaa Dentist 1008 Braemoor Dr, Downers Grove, IL 60515 2018-05-23
1174020994 Leslie A Kula-leitner Social Worker Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 2018-04-09
1588176390 Tammy Marie Tunac Counselor 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 2017-11-02
1366976466 Giannasi Mental Health Counselors Counselor 921 Curtiss Street, Downers Grove, IL 60515 2017-04-14
1194258079 Alyssa Stylski Dentist 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 2017-04-06
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932285236 Cathleen B Ayuste Pediatrics 4121 Fairview Ave Ste 100, Downers Grove, IL 60515-2266 2006-10-29
1902838345 Emilio Cabana Pediatrics 6840 S. Main Street, Suite 201, Downers Grove, IL 60516-3493 2006-07-07
1447232392 Morounkeji E Kuteyi Pediatrics 2525 Ogden Ave, Downers Grove, IL 60515-1708 2005-11-16
1649518010 Pediatric and Adolescent Healthy Lifestyle Center, LLC Pediatrics 2525 Ogden Ave, Downers Grove, IL 60515-1708 2013-01-20
1578859476 Malini Kumar Pediatrics 3743 Highland Ave Ste 1003, Downers Grove, IL 60515-1594 2011-06-20
1215222922 Michael Raymond Kurzer Jr. Pediatrics 3815 Highland Ave, Downers Grove, IL 60515-1500 2011-06-10
1174767081 Deborah Ayuste Boyle Pediatrics 5207 Main St, Downers Grove, IL 60515-4652 2009-04-22
1770758807 Kerry V Sheehan Pediatrics 6840 S. Main Street, Suite 201, Downers Grove, IL 60516-3493 2008-04-29
1558533596 Cynthia A Urbanowicz Pediatrics 3743 Highland Ave, Ste 1003, Downers Grove, IL 60515-1594 2008-03-31
1689869455 Ofelia B. Ayuste M.d.s.c. Pediatrics 4121 Fairview Ave Ste 100, Downers Grove, IL 60515-2266 2007-09-13
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Competitor

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City DOWNERS GROVE
Zip Code 60515

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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