Individual
DR. TAPAS DASGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9445 INDIANAPOLIS BLVD STE G1, HIGHLAND, IN 46322-2648
(219) 616-0197
Mailing address
6747 FIELDSTONE DR, BURR RIDGE, IL 60527-5262
(773) 333-5874
(776) 783-8794
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
036093907
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01047887A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093907
—
IL
Enumeration date
06/14/2006
Last updated
12/17/2020
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