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Individual

JOHN P JOSUPAIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1220 HOBSON RD, SUITE 116, NAPERVILLE, IL 60540-8137
(630) 416-3300
(630) 646-5648
Mailing address
1220 HOBSON RD, STE 116, NAPERVILLE, IL 60540-8137
(630) 416-3300
(630) 646-5648

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036077089
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036077089 6
IL
Enumeration date
10/28/2005
Last updated
08/06/2021
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