Individual
DR. KAVISH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
619 PARK DR, KENILWORTH, IL 60043-1006
(412) 335-8822
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036175392
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
04/02/2020
Last updated
05/03/2026
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