Individual
DR. ANIL GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2712 BROADWAY ST, MOUNT VERNON, IL 62864-2342
(618) 244-2000
(618) 244-6625
Mailing address
2712 BROADWAY ST, MOUNT VERNON, IL 62864-2342
(618) 244-2000
(618) 244-6625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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