Individual
DR. VINCENT MICHAEL TUPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 N HALSTED ST STE 823, CHICAGO, IL 60657-6185
(773) 296-7937
(773) 296-3995
Mailing address
29373 NETWORK PLACE, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.142276
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
01078148A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
036142276
IL
Other
Enumeration date
06/16/2012
Last updated
04/05/2024
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