Individual
SAMIR K GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7222
(815) 725-7080
Mailing address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7222
(815) 725-7080
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036094940
IL
Other
Enumeration date
10/12/2005
Last updated
08/01/2023
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