Individual
ERIC DUPAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6432 S EBERHART AVE, CHICAGO, IL 60637-3325
(305) 842-8964
Mailing address
6432 S EBERHART AVE, CHICAGO, IL 60637-3325
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000630
IL
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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