Matthew Lupsan

General Practice Dentistry · Waukegan, IL

Individual Active NPI

NPI number 1619692811

Practice location

2821 Grand Ave
Waukegan, IL 60085-2372
Phone
(847) 662-4400

Open in Google Maps

NPI record

NPI
1619692811
Entity type
Individual (Type 1)
Enumeration date
October 10, 2022
Last updated
July 17, 2026
Certified
July 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019.034201 IL

Mailing address

1461 S Blue Island Ave
Chicago, IL 60608-2282

About Matthew Lupsan

Matthew Lupsan is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2821 Grand Ave, Waukegan, IL 60085-2372. The NPI number 1619692811 was assigned on October 10, 2022 and the record was last updated on July 17, 2026.

Matthew Lupsan lists a license in the registry: #019.034201 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Lupsan?

The NPI number is 1619692811.

What is the phone number of Matthew Lupsan?

The phone number listed for the practice location is (847) 662-4400.

Where is Matthew Lupsan located?

2821 Grand Ave, Waukegan, IL 60085-2372.

What is the taxonomy code for Matthew Lupsan?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Waukegan

All General Practice Dentistry providers in Waukegan, IL →