Individual
RISHABH GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-7100
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-7100
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125.079864
IL
Other
Enumeration date
04/15/2021
Last updated
06/29/2022
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