Individual
JESSICA E KUPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
2805 N WOLCOTT AVE, UNIT B, CHICAGO, IL 60657-4081
(847) 414-7889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-146563
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-146563
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-146563
IL
Other
Enumeration date
04/07/2015
Last updated
10/18/2022
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