Maupin, Kevin Douglas

Maupin, Kevin Douglas is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Maupin, Kevin Douglas can be contacted via phone (312) 942-5000.

Contact Information

Primary practice address
1653 W Congress Pkwy Chicago IL 60612-3833
Phone: (312) 942-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 24590 West Virginia
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 036-147665 Illinois

Profile Details

NPI number 1598779811
LBN Legal business name Maupin, Kevin Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Feb 11th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598779811 NPPES
Mississippi MEDICAID 0123108
Mississippi MEDICAID 009713350
Mississippi MEDICAID 253119400
Mississippi MEDICAID 1598779811
Mississippi MEDICAID 0108399

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