Gupta, Purnendu

Gupta, Purnendu is an individual health care provider with primary practice located at 2211 North Oak Park Avenue Suite 3A, Chicago IL 60707-3329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Gupta, Purnendu can be contacted via phone (773) 385-5497.

Contact Information

Primary practice address
2211 North Oak Park Avenue Suite 3A Chicago IL 60707-3329
Phone: (773) 385-5497
Fax: (773) 385-5488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 36086266 Illinois

Profile Details

NPI number 1740358308
LBN Legal business name Gupta, Purnendu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Feb 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740358308 NPPES
Illinois MEDICAID 036086266

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