Individual
DR. DIPTI GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5465
Mailing address
676 N SAINT CLAIR ST STE 800, CHICAGO, IL 60611-2978
(312) 695-5753
(312) 695-5465
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036130834
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/23/2007
Last updated
08/20/2019
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