Individual
ALEEA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 W CHICAGO AVE STE 210, HINSDALE, IL 60521
(630) 286-9192
(386) 204-7159
Mailing address
211 W CHICAGO AVE STE 210, HINSDALE, IL 60521-3358
(630) 286-9192
(386) 204-7159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036123729
IL
207Q00000X
Family Medicine Physician
A69729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123729
—
IL
Enumeration date
01/17/2007
Last updated
01/11/2019
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