Gupta, Anita
Gupta, Anita is an sole proprietor health care provider with primary practice located at 225 East Chicago Avenue Box -152 , Chicago IL 60611-2605. She recently has only one registered license in Hospitals / Children, which is considered as her primary health care specialty. Gupta, Anita can be contacted via phone (312) 227-7408.Contact Information
Primary practice address
225 East Chicago Avenue Box -152
Chicago IL 60611-2605
Phone: (312) 227-7408
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Hospitals / Children | 282NC2000X | 036127295 | Illinois |
Profile Details
| NPI number | 1831518539 |
|---|---|
| LBN Legal business name | Gupta, Anita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2014 |
| Last updated | Apr 9th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831518539 | NPPES |
| Illinois | MEDICAID | 036127295 |
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