Individual
BHAVNA GUPTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4440 W 95TH ST STE 250N, OAK LAWN, IL 60453-2600
(847) 723-5313
(847) 723-2338
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1041
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-140656
IL
Other
Enumeration date
07/23/2013
Last updated
12/15/2022
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