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Individual
MRS. SUSAN C KUPCZYK
Active
Individual
MRS. SUSAN C KUPCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002556
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232364
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/10/2006
Last updated
03/15/2023
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