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Individual

DR. KEVIN DOUGLAS MAUPIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5000

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
036-147665
IL
2080P0214X
Pediatric Pulmonology Physician
24590
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009713350
AL
05
0108399
OH
05
0123108
MS
05
1598779811
WV
05
253119400
FL
Enumeration date
07/29/2006
Last updated
02/11/2026
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