Individual
ROOP GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5446 KIRK ST, MORTON GROVE, IL 60053-3611
(312) 201-0536
(312) 201-0538
Mailing address
5446 KIRK ST, MORTON GROVE, IL 60053-3611
(312) 201-0536
(312) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036069245
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036069245
—
IL
Enumeration date
12/22/2005
Last updated
02/23/2008
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