Matthew Lupsan
Matthew Lupsan is a General Practice Dentistry in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
2821 Grand AveWaukegan, IL 60085-2372
Phone: (847) 662-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019.034201 (IL) |
|---|
Record details
| NPI number | 1619692811 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 10, 2022 |
| Last updated in NPPES | July 17, 2026 |
| Certification date | July 17, 2026 |
| Mailing address | 1461 S Blue Island Ave, Chicago, IL 60608-2282 |
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