Rupp, Alice M

Rupp, Alice M is an individual health care provider with primary practice located at 4050 Healthway Dr Suite 140, Aurora IL 60504-8183. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Rupp, Alice M can be contacted via phone (630) 318-3355.

Contact Information

Primary practice address
4050 Healthway Dr Suite 140 Aurora IL 60504-8183
Phone: (630) 318-3355
Fax: (630) 701-9277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036083796 Illinois

Profile Details

NPI number 1679595086
LBN Legal business name Rupp, Alice M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Aug 10th, 2012 - about 14 years 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 1679595086 NPPES
Illinois Other 271168698 TAX ID#
Illinois Other 110240875 TAX ID#
Illinois Other 0222075 TAX ID#
Illinois Other 3631498336019001 TAX ID#
Illinois MEDICAID 036083796 TAX ID#

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