Individual
DR. ELIZABETH ELLEN SENGUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3679
(773) 665-3612
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3679
(773) 665-3612
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036072945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383415
ANTHEM BCBS
IN
05
—
036072945
—
IL
05
—
100378240
—
IN
01
—
P00296508
RAILROAD MEDICARE
—
Enumeration date
01/23/2006
Last updated
02/08/2016
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