SearchIllinois104100000X

Carrie Kupfer

NPI 1205516176 · on the registry since 2023 · sole proprietor

Practice

Address
645 Country Club Dr
Itasca, IL 60143
Phone
(847) 337-1440

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois