Individual
ANURAG GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
808 RICKERT DR STE 201, NAPERVILLE, IL 60540-0910
(630) 355-8000
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036119945
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119945
—
IL
01
—
P00694798
RR MEDICARE
IL
Enumeration date
07/26/2006
Last updated
08/08/2023
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