Gupta, Rajat
Gupta, Rajat is an individual health care provider with primary practice located at 1324 N Sheridan Rd , Waukegan IL 60085-2161. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gupta, Rajat can be contacted via phone (847) 360-3000.Contact Information
Primary practice address
1324 N Sheridan Rd
Waukegan IL 60085-2161
Phone: (847) 360-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036101774 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 036101774 | Illinois |
Profile Details
| NPI number | 1790725240 |
|---|---|
| LBN Legal business name | Gupta, Rajat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | May 27th, 2008 - about 17 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 | 1790725240 | NPPES |
| Illinois | MEDICAID | 036101774 |
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