Individual
KATELYN I KUPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-7032
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-020548
IL
363LF0000X
Family Nurse Practitioner
209.020548
IL
Other
Enumeration date
11/27/2019
Last updated
01/07/2026
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