RONALD TUPIK D O LTD NPI 1629334305

NPI Information

  • NPI: 1629334305
  • Provider Name: RONALD TUPIK D O LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 500 E MAPLE
    SUITE 203
    NEW LENOX, IL
    ZIP 60451
  • Phone: (815) 485-9160

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NPI Details

RONALD TUPIK D O LTD is a family medicine in New Lenox, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RONALD TUPIK D O LTD NPI is 1629334305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

500 E MAPLE
SUITE 203
NEW LENOX, IL
ZIP 60451-908
Phone: (815) 485-9160
Fax: (815) 485-9176

The provider's authorized official is Ronald E Tupik .
The authorized official title is Owner and has the following contact phone number (815) 485-9160.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 4/6/2012.

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
1207Q00000XFamily Medicine036057035ILLINOISYes

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
1C44029MEDICARE UPINILLINOIS
2618510MEDICARE PINILLINOIS

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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