Individual provider · Type 1 NPI

Johanna Graciella Menor Nalupta, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1487458048 Active

Practice location

1969 W Ogden Ave Fl 4
Chicago, IL 60612-3765

Call (312) 864-4166 Map

Fax (312) 864-9954

Mailing address

16206 Golfview Dr
Lockport, IL 60441-4655

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487458048

Johanna Graciella Menor Nalupta, MD's National Provider Identifier is 1487458048, issued on Apr 2, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Apr 2, 2025.