# ANSHU GUPTA, MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235574237
- **Authorized official:** DR. ANSHU GUPTA MD (MD)
- **Authorized official phone:** (847) 650-8044

## Contact information

- **Practice address:** 800 AUSTIN ST, SUITE 607, WEST TOWER, EVANSTON, IL 60202-3439
- **Practice address phone:** (847) 650-8044
- **Practice address fax:** (847) 475-6065
- **Mailing address:** 1051 ROMONA RD, WILMETTE, IL 60091-1273
- **Mailing address phone:** (847) 650-8044
- **Mailing address fax:** (847) 475-6065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 036094836 | IL | Yes |

## Other

- **Enumeration date:** 05/03/2013
- **Last updated:** 05/03/2013