Individual
DR. RENU GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1675 DEMPSTER ST FL 1, PARK RIDGE, IL 60068-1110
(847) 318-9300
(847) 723-9583
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036109937
IL
208M00000X
Hospitalist Physician
Primary
036109937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109937
—
IL
Enumeration date
07/28/2006
Last updated
06/27/2022
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