Janice Lupu, M.D.
Individual provider Active NPI Internal Medicine Physician · Skokie, IL
NPI 1902968050 · NPPES record last updated Nov 18, 2008
Key facts
- NPI
- 1902968050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036062068 (IL)
- Practice address
- 9669 Kenton Ave
Suite 300
Skokie, IL 60076-1266 - Phone
- (847) 677-4200
- Fax
- (847) 677-4209
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071013000044 | IL | Practitioner - Internal Medicine | 3678669140 | Practice locations: Chicago, IL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036062068 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Care Group LTD | Internal Medicine | Current | Accepting new patients |
Locations
701 Lee St
Ste 480
Des Plaines, IL 60016
Phone (847) 827-3008
9669 Kenton Ave
Ste 300
Skokie, IL 60076
Phone (847) 674-6633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036062068 | IL | Yes |
Addresses
Primary practice location
9669 Kenton Ave
Suite 300
Skokie, IL 60076-1266
Mailing address
701 Lee St
Suite 480
Des Plaines, IL 60016-4539
Phone (847) 827-3008
Other providers in Skokie, IL
- Allyson Lucero
- Charles David Lucke
- Svetlana Lukomski
- Kirsten Luna
- Lunar Home Care LLC
- Alexandra N Lutomski
- Luxottica of America Inc
- Luxottica of America Inc.
- Luxottica of America Inc.
- Claire Ly
All providers in Skokie, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.