MS. KATHARYN DESA LUPO M.D. NPI 1295979300

NPI Information

  • NPI: 1295979300
  • Provider Name: MS. KATHARYN DESA LUPO, M.D.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 636 RAYMOND DR
    NAPERVILLE, IL
    ZIP 60563
  • Phone: (630) 922-2350

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NPI Details

MS. Katharyn Desa Lupo, M.D. is an internal medicine in Naperville, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MS. Katharyn Desa Lupo, M.D. NPI is 1295979300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

636 RAYMOND DR
NAPERVILLE, IL
ZIP 60563-789
Phone: (630) 922-2350
Fax: (630) 922-2070

The enumeration date for this NPI number is 4/21/2009 and was last updated on 2/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics036138404ILLINOISNo
2208000000XPediatricsMD448210PENNSYLVANIANo
3207R00000XInternal Medicine036138404ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F400228991OTHERILLINOISMEDICARE PTAN INDIVIDUAL
2920540OTHERILLINOISMEDICARE PTAN GROUP
3036138404MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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