Individual
SUNNY GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1942 DEMPSTER ST, EVANSTON, IL 60202-1016
(847) 688-1900
(847) 869-7392
Mailing address
8921 NASHVILLE AVE, MORTON GROVE, IL 60053-2326
(773) 983-0446
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041395052
IL
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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