| Ms Katharyn Desa Lupo, MD | |
|
636 Raymond Dr, Naperville, IL 60563-9789 | |
| (630) 922-2350 | |
| (630) 922-2070 |
| Full Name | Ms Katharyn Desa Lupo |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 636 Raymond Dr, Naperville, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295979300 | NPI | - | NPPES |
| 036138404 | Medicaid | IL | |
| 920540 | Other | IL | MEDICARE PTAN GROUP |
| F400228991 | Other | IL | MEDICARE PTAN INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036138404 (Illinois) | Secondary |
| 208000000X | Pediatrics | MD448210 (Pennsylvania) | Secondary |
| 207R00000X | Internal Medicine | 036138404 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katharyn Desa Lupo, MD 636 Raymond Dr, Naperville, IL 60563-9789 Ph: (630) 922-2350 | Ms Katharyn Desa Lupo, MD 636 Raymond Dr, Naperville, IL 60563-9789 Ph: (630) 922-2350 |
Ehab Ghassan Dababneh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 S Washington St Fl 4, Naperville, IL 60540 Phone: 630-600-0700 Fax: 630-600-0701 | |
Dinesh Jain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1243 Rickert Dr, Naperville, IL 60540 Phone: 630-527-6450 Fax: 630-527-6456 | |
Ravi Nemivant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Spalding Dr, Ste 102, Naperville, IL 60540 Phone: 630-871-6699 | |
Dr. Hoda A. El- Asmar, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 801 S Washington St, Edward Hospital, Administration, Vpma Office, Naperville, IL 60540 Phone: 630-527-5647 Fax: 630-527-3702 | |
Gregory Trevino, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 608 S Washington St Ste 201, Naperville, IL 60540 Phone: 630-717-2630 | |
Dr. Mark F Daniels, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540 Phone: 630-355-8000 | |
Rafael Piedra, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Spalding Dr, Ste 208, Naperville, IL 60540 Phone: 630-717-2600 |