Individual
NISHA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
310 S COUNTY FARM RD STE B, WHEATON, IL 60187-2409
(630) 407-1300
Mailing address
310 S COUNTY FARM RD STE B, WHEATON, IL 60187-2409
(630) 407-1300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME124167
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
141533
IL
Other
Enumeration date
06/01/2011
Last updated
05/21/2024
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