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Organization
JAMES E JUPA MD SC
Active
Organization
JAMES E JUPA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E JUPA MD (PHYSICIAN)
(847) 615-5419
Entity
Organization
Contact information
Practice address
900 N WESTMORELAND RD, SUITE 108, LAKE FOREST, IL 60045-1674
(847) 615-5419
(847) 615-5423
Mailing address
PO BOX 431, LAKE FOREST, IL 60045-0431
(847) 775-7686
(847) 735-9301
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036041939
IL
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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