Jupa, James Edward

Jupa, James Edward is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Suite 108, Lake Forest IL 60045-1674. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Other Service Providers / Specialist is his primary health care specialty. Jupa, James Edward can be contacted via phone (847) 615-5419.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 108 Lake Forest IL 60045-1674
Phone: (847) 615-5419
Fax: (847) 615-5423
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036041939 Illinois

Profile Details

NPI number 1437162278
LBN Legal business name Jupa, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Mar 15th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437162278 NPPES
Illinois MEDICAID 036041939
Illinois Other 04927816

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