| Ronald Tupik D O Ltd | |
|
500 E Maple Suite 203 New Lenox IL 60451-2908 | |
| (815) 485-9160 | |
| (815) 485-9176 |
| Full Name | Ronald Tupik D O Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 500 E Maple, New Lenox, Illinois |
| Authorized Official Name and Position | Ronald E Tupik (OWNER) |
| Authorized Official Contact | 8154859160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Tupik D O Ltd 500 E Maple Suite 203 New Lenox IL 60451-2908 Ph: (815) 485-9160 | Ronald Tupik D O Ltd 500 E Maple Suite 203 New Lenox IL 60451-2908 Ph: (815) 485-9160 |
| NPI Number | 1629334305 |
|---|---|
| Provider Enumeration Date | 04/06/2012 |
| Last Update Date | 04/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629334305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036057035 (Illinois) | Primary |
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