Individual
DR. MOHIT GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5875 E RIVERSIDE BLVD, ROCKFORD, IL 61114-4937
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
(815) 398-9491
(815) 381-7498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036165627
IL
207R00000X
Internal Medicine Physician
125.077049
IL
207RR0500X
Rheumatology Physician
Primary
036165627
IL
Other
Enumeration date
11/04/2020
Last updated
08/13/2025
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