| Dr Balaji Gupta, MD | |
|
2500 S Highland Ave, Suite 110, Lombard, IL 60148-5363 | |
| (630) 495-2220 | |
| Not Available |
| Full Name | Dr Balaji Gupta |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 37 Years |
| Location | 2500 S Highland Ave, Lombard, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992767818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 36-081843 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dupage Ophthalmology | 0345251484 | 2 |
| Entity Name | Dupage Ophthalmology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134170541 PECOS PAC ID: 0345251484 Enrollment ID: O20060605000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Balaji Gupta, MD 2500 S Highland Ave, Suite 110, Lombard, IL 60148-5363 Ph: (630) 495-2220 | Dr Balaji Gupta, MD 2500 S Highland Ave, Suite 110, Lombard, IL 60148-5363 Ph: (630) 495-2220 |
Dr. Brian Larsen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 477 E Butterfield Rd Ste 105, Lombard, IL 60148 Phone: 773-943-7425 Fax: 773-896-0303 | |
Susan G Vierling, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 130 S Main St, Suite 303, Lombard, IL 60148 Phone: 630-424-9877 Fax: 630-424-9878 | |
Dr. Sheridan Lam, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2500 S Highland Ave, Suite 110, Lombard, IL 60148 Phone: 630-495-2220 Fax: 630-495-2279 | |
Dr. Daniel Owens, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 130 S Main St, Suite 303, Lombard, IL 60148 Phone: 630-424-9877 Fax: 630-424-9878 | |
Mark Ros, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 130 S Main St, Ste 305, Lombard, IL 60148 Phone: 630-426-0505 Fax: 630-426-0506 |