Provider Demographics
NPI:1093030751
Name:TOUPS, JOSEPH S (DENTIST (DDS))
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:S
Last Name:TOUPS
Suffix:
Gender:M
Credentials:DENTIST (DDS)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 E WASHINGTON
Mailing Address - Street 2:SUITE 1325
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602
Mailing Address - Country:US
Mailing Address - Phone:312-263-6894
Mailing Address - Fax:312-263-1731
Practice Address - Street 1:25 E WASHINGTON
Practice Address - Street 2:SUITE 1325
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602
Practice Address - Country:US
Practice Address - Phone:312-263-6894
Practice Address - Fax:312-263-1731
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190199061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice