Individual
JOEL MORRIS KUPERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1324 S GRAND AVE W, SPRINGFIELD, IL 62704-3465
(847) 777-9200
Mailing address
1324 S GRAND AVE W, SPRINGFIELD, IL 62704-3465
(847) 777-9200
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
198001162
IL
171100000X
Acupuncturist
Primary
198001162
IL
Other
Enumeration date
12/08/2013
Last updated
12/08/2013
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