Kuppy, Joanna Rose

Kuppy, Joanna Rose is an individual health care provider with primary practice located at 1653 W Congress Pkwy 622 Murdock, Chicago IL 60612-3833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is her primary health care specialty. Kuppy, Joanna Rose can be contacted via phone (312) 942-7154.

Contact Information

Primary practice address
1653 W Congress Pkwy 622 Murdock Chicago IL 60612-3833
Phone: (312) 942-7154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A100158 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036128033 Illinois

Profile Details

NPI number 1174726509
LBN Legal business name Kuppy, Joanna Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Aug 17th, 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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