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Individual

DR. NEIL MANU GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036124219
IL
2085R0202X
Diagnostic Radiology Physician
C144579
CA

Other

Enumeration date
07/02/2007
Last updated
08/05/2026
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