Gupta, Gopal N.
Gupta, Gopal N. is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Fahey Center, Bldg 54, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Gupta, Gopal N. can be contacted via phone (708) 216-5098.Contact Information
Primary practice address
2160 S 1St Ave Fahey Center, Bldg 54
Maywood IL 60153-3328
Phone: (708) 216-5098
Fax: (708) 126-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036128866 | Illinois |
Profile Details
| NPI number | 1326182015 |
|---|---|
| LBN Legal business name | Gupta, Gopal N. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Apr 9th, 2021 - about 5 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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