Individual
DR. CHANDER GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4905 OLD ORCHARD CTR STE 310, SKOKIE, IL 60077-4740
(847) 982-0640
Mailing address
4905 OLD ORCHARD CTR STE 310, SKOKIE, IL 60077-4740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS040966
PA
1223P0300X
Periodontics
Primary
021002990
IL
Other
Enumeration date
01/25/2017
Last updated
04/09/2026
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