Ronald Tupik D O LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036057035 Issued in IL

Legal business name

RONALD TUPIK D O LTD

Practice address

500 E Maple
Suite 203
New Lenox, IL 60451-2908

Phone

(815) 485-9160

Fax

(815) 485-9176

NPI assigned

Apr 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ronald E Tupik, DO

Title

Owner

Phone

(815) 485-9160

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1629334305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAPLE",
            "address_2": "SUITE 203",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512908",
            "telephone_number": "815-485-9160",
            "fax_number": "815-485-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAPLE",
            "address_2": "SUITE 203",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604512908",
            "telephone_number": "815-485-9160",
            "fax_number": "815-485-9176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD TUPIK D O LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "TUPIK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-485-9160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036057035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Rodriguez, APRN
• Jessica E. Rodriguez, PA
• Marie Rojas
• Louis Rojek
• Julie Catherine Rollins, NP-C
• Joanne Marie Roney, NP
• Mihael David Rosenbaum, MD
• Victoria Roti
• Sarah Marie Wertelka Roy
• Janet Ryan

• Family Medicine Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.