Gupta, Renu

Gupta, Renu is an individual health care provider with primary practice located at 1675 Dempster St Fl 1 , Park Ridge IL 60068-1110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gupta, Renu can be contacted via phone (847) 318-9300.

Contact Information

Primary practice address
1675 Dempster St Fl 1 Park Ridge IL 60068-1110
Phone: (847) 318-9300
Fax: (847) 723-9583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036109937 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036109937 Illinois

Profile Details

NPI number 1982618344
LBN Legal business name Gupta, Renu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jun 27th, 2022 - about 3 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 1982618344 NPPES
Illinois MEDICAID 036109937

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