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Individual

SOUMYA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.B.B.S.

Contact information

Practice address
1950 W POLK ST STE 5210, CHICAGO, IL 60612-3723
(312) 937-4634
Mailing address
1950 W POLK ST STE 5201, CHICAGO, IL 60612-3723

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036175826
IL

Other

Enumeration date
03/27/2022
Last updated
10/09/2025
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