Myrna R Lupena, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

Chicago Department of Public Health
333 S State Street Revenue #200
Chicago, IL 60604

Phone

(312) 747-9443

Fax

(312) 747-9447

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689770646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
            "address_2": "333 S STATE STREET REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-747-9443",
            "fax_number": "312-747-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHICAGO DEPARTMENT OF PUBLIC HEALTH",
            "address_2": "333 S STATE STREET REVENUE #200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "312-747-9443",
            "fax_number": "312-747-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPENA",
        "first_name": "MYRNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PAYEE #2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Xunrong Luo, M.D.
• Lori June Luong
• Minh Nguyet Dao Luong, DDS
• Ryan Anh Minh Luong, DO
• Kailey Ryanne Luparell
• Ariana Isabel Lupercio
• Annik Lupieri, MD, MSC
• Elizabeth Lupo, LCPC
• Graciela Luque, LCSW
• Erin Luquette

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jul 8, 2007; 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.