Gupta Mdsc
LBN: Gupta Mdsc
Gupta Mdsc is an health care organization with primary practice located at 17850 South Kedzie Avenue Suite 3300, Hazel Crest IL 60429. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Gupta Mdsc can be contacted via phone (708) 799-6055, or through Gupta, Raj G via phone (708) 525-5008.
Contact Information
Primary practice address
17850 South Kedzie Avenue Suite 3300
Hazel Crest IL 60429
Phone: (708) 799-6055
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X |
Profile Details
| NPI number | 1962523720 |
|---|---|
| LBN Legal business name | Gupta Mdsc |
| DBA Doing business as | |
| Authorized official | Gupta, Raj G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Mar 24th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962523720 | NPPES |
| Other | 21609346 | BC/BS PROVIDER # FOR GUPTA MD SC | |
| Other | CD2646 | BC/BS PROVIDER # FOR GUPTA MD SC |
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