Individual
MICHAEL EUGENE KUPKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 W ADDISON ST, CHICAGO, IL 60618-6132
(773) 796-2280
Mailing address
2001 W ADDISON ST, CHICAGO, IL 60618-6132
(773) 796-2280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-058820
IL
Other
Enumeration date
04/15/2010
Last updated
04/21/2023
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