Organization Active NPI

James E Jupa MD SC

  • Infectious Disease Physician
  • Lake Forest, IL
National Provider Identifier
1891093019
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036041939 Issued in IL
Legal business name
JAMES E JUPA MD SC
Practice address
900 N Westmoreland Rd
Suite 108
Lake Forest, IL 60045-1674
Phone
(847) 615-5419
Fax
(847) 615-5423
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. James E Jupa, MD
Title
Physician
Phone
(847) 615-5419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 036041939 IL Primary

Addresses

Primary practice location

900 N Westmoreland Rd
Suite 108
Lake Forest, IL 60045-1674

Mailing address

PO Box 431
Lake Forest, IL 60045-0431
Phone (847) 775-7686

National Provider Directory

National Provider Directory

Locations

660 N Westmoreland Rd
Ste 306
Lake Forest, IL 60045
Phone (847) 615-5419

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1891093019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600450431",
            "telephone_number": "847-775-7686",
            "fax_number": "847-735-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE 108",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451674",
            "telephone_number": "847-615-5419",
            "fax_number": "847-615-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E JUPA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "JUPA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-615-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036041939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.