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NPI Code Detail

MEDICARE: MR. MIROSLAW A KUPTEL MD

MEDICARE:  MR. MIROSLAW A KUPTEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036095993IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
201632616OTHERILBLUE CROSS BLUE SCHEILD

General Provider Information

NPI Number : 1457342321
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MIROSLAW A KUPTEL MD
Provider Business Mailing Address
First Line : 9651 IRVING PARK RD
Second Line :
City : SCHILLER PARK
State : IL
Zip : 60176-1905
Country : US
Telephone Number : 847-678-6474
Fax Number : 847-671-5950
Provider Business Practice Location Address
First Line : 9651 IRVING PARK RD
Second Line :
City : SCHILLER PARK
State : IL
Zip : 60176-1905
Country : US
Telephone Number : 847-678-6474
Fax Number : 847-671-5950
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 02/27/2023

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Directions to “ MR. MIROSLAW A KUPTEL MD” Practice Location

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