Individual
ROSS KUPRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 564-7400
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.067427
IL
2085N0700X
Neuroradiology Physician
Primary
125067427
IL
Other
Enumeration date
06/22/2015
Last updated
06/30/2020
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