Individual
DR. RUCHI S GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
2300 CHILDRENS PLAZA, CHILDRENS MEMORIAL HOSPITAL, CHICAGO, IL 60614
(773) 561-6640
Mailing address
2622 N PAULING RD, CHICAGO, IL 60614
(312) 523-3553
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036112041
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112041
—
IL
Enumeration date
04/06/2006
Last updated
01/16/2013
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