Individual
DR. ROGER A LUPEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1024 NORTH BLVD, SUITE 207, OAK PARK, IL 60301-1169
(708) 524-0307
(708) 524-1467
Mailing address
1024 NORTH BLVD, SUITE 207, OAK PARK, IL 60301-1169
(708) 524-0307
(708) 524-1467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1672709
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/05/2007
Last updated
07/08/2007
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