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Contact Information

ROBERT JUPITER, MD
1044 N FRANCISCO AVE
CHICAGO, IL60622-2743
 Phone: 773-292-8200
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT JUPITER · (Male)

NPI # 1033777032
Status Active
Credentials MD
Entity Individual
Enumeration date 06/04/2019
Last updated 08/24/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-161722
  • IL License # 125.074507
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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