Stuart Roy Kupfer, M.D.

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

036101821 Issued in IL

Practice address

1 Takeda Pkwy
Deerfield, IL 60015-5713

Phone

(224) 554-2207

NPI assigned

Sep 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316822400000",
    "number": "1790068872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TAKEDA PKWY",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155713",
            "telephone_number": "224-554-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAKEDA PKWY",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155713",
            "telephone_number": "224-554-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPFER",
        "first_name": "STUART",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036101821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Kriegel
• Kimberly Kroll, PSYD
• Linda B. Kroll, LINDA KROLL
• Deborah Kushner Krosnick, SLP-CCC
• Philip Kuk, PHARMD
• Elyse Kushner, MSPT
• Sara Debra Kushnir, LCSW
• Linda Diane L'Abbe, M.A., LCPC
• Matthew W Lackney, DMD
• Zhanna Lacroix, RPH

• Pediatric Endocrinology Physician in Deerfield, IL
• Providers in Deerfield, IL by specialty
• Pediatric Endocrinology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; 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.