Individual
SHWETA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 W HARRISON ST, DEPARTMENT OF MEDICINE, CHICAGO, IL 60612-3714
(312) 864-7229
Mailing address
2147 ALLEGRE CIR, APARTMENT # 110, NAPERVILLE, IL 60563-2684
(312) 375-9559
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-122802
IL
207RH0000X
Hematology (Internal Medicine) Physician
036-122802
IL
207RX0202X
Medical Oncology Physician
Primary
036-122802
IL
Other
Enumeration date
01/30/2009
Last updated
04/26/2021
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