Individual
DR. GAURAV KAPOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5775 E STATE ROUTE 113, COAL CITY, IL 60416-7111
(815) 634-0100
(815) 634-2900
Mailing address
1710 W COURT ST, KANKAKEE, IL 60901-3160
(815) 936-3200
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01094047A
IN
207RC0000X
Cardiovascular Disease Physician
036118921
IL
207RI0011X
Interventional Cardiology Physician
01094047A
IN
207RI0011X
Interventional Cardiology Physician
Primary
036118921
IL
Other
Enumeration date
09/16/2005
Last updated
12/30/2025
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