Individual
DR. JOSEPH W CHUPREVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
110 E MAIN ST STE 326, OTTAWA, IL 61350-2900
(815) 434-6511
Mailing address
110 E MAIN ST STE 326, OTTAWA, IL 61350-2900
(815) 434-6511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036049754
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049754
—
IL
Enumeration date
08/16/2006
Last updated
07/08/2007
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