Individual
ANUJA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 N WALL ST, SUITE 100, KANKAKEE, IL 60901-2942
(815) 933-2557
Mailing address
1905 W COURT ST, KANKAKEE, IL 60901-3163
(815) 935-7256
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
2004-0758
NM
Other
Enumeration date
07/22/2006
Last updated
08/24/2010
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