| Gupta Internal Medicine Associates,s.c. | |
|
17850 South Kedzie Avenue Suite 3300 Hazel Crest IL 60429 | |
| (708) 799-6055 | |
| Not Available |
| Full Name | Gupta Internal Medicine Associates,s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 17850 South Kedzie Avenue, Hazel Crest, Illinois |
| Authorized Official Name and Position | Raj G Gupta (OWNER) |
| Authorized Official Contact | 7085255008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta Internal Medicine Associates,s.c. 222 E Pearson St Unit 2705 Chicago IL 60611-7347 Ph: (708) 525-5008 | Gupta Internal Medicine Associates,s.c. 17850 South Kedzie Avenue Suite 3300 Hazel Crest IL 60429 Ph: (708) 799-6055 |
| NPI Number | 1326249293 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 03/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326249293 | NPI | - | NPPES |
| CD2711 | Other | RAILROAD MEDICARE | |
| 1619980 | Other | BC/BS PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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