MEDICARE: MARGARET ANNE SUPPLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	036046360	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740274851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET ANNE SUPPLE M.D.

Provider Business Mailing Address
First Line	:	3800 HIGHLAND AVE
Second Line	:	SUITE 104
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1557
Country	:	US
Telephone Number	:	630-969-8090
Fax Number	:	630-969-8087

Provider Business Practice Location Address
First Line	:	3800 HIGHLAND AVE
Second Line	:	SUITE 104
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1557
Country	:	US
Telephone Number	:	630-969-8090
Fax Number	:	630-969-8087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	12/14/2021

Similar Medicare Providers

1538167168 — DR. TODD ARTHUR ROBERT O.D.
Practice Location Address:

3800 HIGHLAND AVE , STE. 100
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-960-0456
Practice Fax: 630-960-9521

1063410033 — DR. LINDA S WEIL O.D.
Practice Location Address:

3800 HIGHLAND AVE , STE. 100
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-960-0456
Practice Fax: 630-960-9521

1487841904 — HAROLD JAIMES, M.D., S.C.
Practice Location Address:

3800 HIGHLAND AVE , SUITE 111
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-719-4444
Practice Fax:

1295997104 — DR. LOUIS RAYMOND A JISON M.D., O.D.
Practice Location Address:

3800 HIGHLAND AVE
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-960-0456
Practice Fax:

1700018710 — DOWNERS GROVE GERIATRICS LLC
Practice Location Address:

3800 HIGHLAND AVE , SUITE 111
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-241-3779
Practice Fax: 630-241-9309

1831475466 — WESTERN DUPAGE OB/GYN
Practice Location Address:

3800 HIGHLAND AVE
DOWNERS GROVE, IL
60515-1557

Practice Phone: 630-810-0777
Practice Fax:

Directions to “ MARGARET ANNE SUPPLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.