Individual
DR. ADITYA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 S FAIRFIELD AVE, CHICAGO, IL 60608-1782
(773) 542-2000
Mailing address
1146 GUNDERSON AVE, OAK PARK, IL 60304-2120
(518) 253-8282
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036.143945
IL
208600000X
Surgery Physician
4313090728
MI
Other
Enumeration date
07/03/2007
Last updated
07/21/2022
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