Gupta, Atul N

Gupta, Atul N is an individual health care provider with primary practice located at 1051 Essington Rd Suite 210, Joliet IL 60435-2801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Gupta, Atul N can be contacted via phone (815) 726-1818.

Contact Information

Primary practice address
1051 Essington Rd Suite 210 Joliet IL 60435-2801
Phone: (815) 726-1818
Fax: (815) 726-0232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036105920 Illinois

Profile Details

NPI number 1821160136
LBN Legal business name Gupta, Atul N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 26th, 2019 - 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 1821160136 NPPES
Illinois Other 09900582 BLUE CROSS BLUE SHIELD
Illinois Other P00245235 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036105920 BLUE CROSS BLUE SHIELD

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