WILLIAM A. SUPAN M.D. – NPI #1477660066
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

WILLIAM SUPAN is a radiologist located in HINES, IL. NPPES has assigned the NPI number 1477660066 to WILLIAM SUPAN on August 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIAM SUPAN below.

NPI Profile for
WILLIAM A. SUPAN

NPI Number
1477660066
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIAM A. SUPAN
Credentials
M.D.
Primary location
5TH & ROOSEVELT
HINES, IL 60141
Phone: (708) 202-2169 Fax:
Mailing address
PO BOX 1164
BLOOMINGTON, IL 61702-1164
Phone: (309) 662-8600 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.