# IRMA KUPTEL MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295488641
- **Authorized official:** IRMA KUPTEL MD (PRESIDENT)
- **Authorized official phone:** (708) 425-4662

## Contact information

- **Practice address:** 6400 W COLLEGE DR, STE 600, PALOS HEIGHTS, IL 60463-1900
- **Practice address phone:** (708) 425-4662
- **Practice address fax:** (708) 425-4692
- **Mailing address:** 221 PINE TREE LN, LA GRANGE PARK, IL 60526-1115
- **Mailing address phone:** (847) 334-3710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2022
- **Last updated:** 01/26/2022