Organization
MINDFUL MD SC
Active
Other names
Sonal Gupta, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SONAL GUPTA M.D. (PSYCHIATRIST)
(773) 488-0101
Entity
Organization
Contact information
Practice address
911 MIDWEST CLUB PKWY STE 720, OAK BROOK, IL 60523-2533
(708) 492-0288
(630) 415-1841
Mailing address
PO BOX 3761, OAK BROOK, IL 60522-3761
(708) 492-0288
(630) 415-1841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116566
—
IL
Enumeration date
02/21/2012
Last updated
04/17/2024
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