Organization
SUBURBAN NEUROLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIPAN K. GUPTA MD (PHYSICIAN)
(847) 952-9140
Entity
Organization
Contact information
Practice address
943 N PLUM GROVE RD STE B, SCHAUMBURG, IL 60173-4779
(847) 952-9140
(847) 952-9145
Mailing address
943 N PLUM GROVE RD, SUITE B, SCHAUMBURG, IL 60173-4779
(847) 952-9140
(847) 952-9145
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036038958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
569560
GROUP
IL
Enumeration date
05/30/2006
Last updated
07/21/2022
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