Organization
MIDWEST DIGESTIVE HEALTH & NUTRITION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL GUPTA MD (MANAGING PARTNER)
(312) 623-8993
Entity
Organization
Contact information
Practice address
900 RAND RD STE 120, DES PLAINES, IL 60016-2359
(312) 623-8993
Mailing address
1400 S MICHIGAN AVE APT 1203, CHICAGO, IL 60605-3720
(312) 767-3244
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/25/2023
Last updated
11/27/2023
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