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Individual

DR. SHIPRA GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
303 E ARMY TRAIL RD STE 200, BLOOMINGDALE, IL 60108-2143
(630) 351-2030
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036146761
IL
207W00000X
Ophthalmology Physician
A141132
CA

Other

Enumeration date
05/09/2011
Last updated
01/29/2021
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