Schupp, Elizabeth A
Schupp, Elizabeth A is an individual health care provider with primary practice located at 4 Executive Ct Suite 3, South Barrington IL 60010. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Schupp, Elizabeth A can be contacted via phone (815) 477-7350.Contact Information
Primary practice address
4 Executive Ct Suite 3
South Barrington IL 60010
Phone: (815) 477-7350
Fax: (815) 477-7351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 036078246 | Illinois |
Profile Details
| NPI number | 1972558567 |
|---|---|
| LBN Legal business name | Schupp, Elizabeth A |
| Credentials | MD, FCCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Apr 25th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972558567 | NPPES |
| Illinois | Other | 127402 | HEALTH ALLIANCE |
| Illinois | Other | 3932056 | HEALTH ALLIANCE |
| Illinois | Other | 770669 | HEALTH ALLIANCE |
| Illinois | Other | 304906 | HEALTH ALLIANCE |
| Illinois | MEDICAID | 036078246 | HEALTH ALLIANCE |
| Illinois | Other | 7210895 | HEALTH ALLIANCE |
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