Gupta, Divya M

Gupta, Divya M is an individual health care provider with primary practice located at 1653 W Congress Pkwy , Chicago IL 60612-3833. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gupta, Divya M can be contacted via phone (312) 942-5000.

Contact Information

Primary practice address
1653 W Congress Pkwy Chicago IL 60612-3833
Phone: (312) 942-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-135575 Illinois

Profile Details

NPI number 1790071660
LBN Legal business name Gupta, Divya M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2011
Last updated May 6th, 2015 - about 11 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.

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