Miroslaw a. Kuptel M.D. LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036.095993 Issued in IL

Legal business name

MIROSLAW A. KUPTEL M.D. LLC

Practice address

9651 Irving Park Rd
Schiller Park, IL 60176-1905

Phone

(847) 678-6474

NPI assigned

Apr 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Miroslaw A. Kuptel, M.D.NPI 1457342321

Title

President

Phone

(847) 678-6474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miroslaw A Kuptel, MD

  • Internal Medicine Physician
  • Schiller Park, IL
  • NPI 1457342321
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1104143692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9651 IRVING PARK RD",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9651 IRVING PARK RD",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761905",
            "telephone_number": "847-678-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIROSLAW A. KUPTEL M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "KUPTEL",
        "authorized_official_first_name": "MIROSLAW",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-678-6474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036.095993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miroslaw A Kuptel, MD
• Sheila Leen, APN-BC
• Andrzej Lewandowski, CCC-SLP, MHS
• Elizabeth Ashley Melone
• Minimed Distribution Corp.
• Sydney Leanne Mordeno
• Angela Marie Moss, APN-BC
• Occupational Health Centers of Illinois PC
• Occupational Therapy Specialists
• Maria Paleologos

• Primary Care Clinic/Center in Schiller Park, IL
• Providers in Schiller Park, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.