Individual
KATE KUPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
1093 OAK RIDGE DR, GLENCOE, IL 60022-1165
(847) 204-5871
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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