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NPI Code Detail

MEDICARE: MELISSA LUPO

MEDICARE:   MELISSA  LUPO
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1093668303
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LUPO
Provider Business Mailing Address
First Line : 4700 WOODLAND AVE
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1743
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4365 LAWN AVE
Second Line :
City : WESTERN SPRINGS
State : IL
Zip : 60558-1465
Country : US
Telephone Number : 773-888-2602
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “ MELISSA LUPO ” Practice Location

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