Individual
DR. VIPAN KUMAR GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
943 N PLUM GROVE RD STE B, SCHAUMBURG, IL 60173
(847) 952-9140
(847) 952-9145
Mailing address
943 N PLUM GROVE RD STE B, SCHAUMBURG, IL 60173-4779
(847) 952-9140
(847) 952-9145
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036086704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086704
—
IL
01
—
569560
PTAN
IL
Enumeration date
05/16/2006
Last updated
03/17/2021
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