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Individual
DR. VIVEK GUPTA
Active
Individual
DR. VIVEK GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36116218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12372491
CAQH
IL
01
—
20013250
HEALTH CONNECT
IL
01
—
3137024
CIGNA
IL
01
—
P00669790
RAILROAD MEDICARE
IL
01
—
QMX000000107962
AETNA BETTER HEALTH
IL
Enumeration date
10/12/2006
Last updated
03/07/2023
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