Individual
MATTHEW LUPSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2821 GRAND AVE, WAUKEGAN, IL 60085-2372
(847) 662-4400
Mailing address
1461 S BLUE ISLAND AVE, CHICAGO, IL 60608-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.034201
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2022
Last updated
07/17/2026
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