Gupta, Mohina
Gupta, Mohina is an sole proprietor health care provider with primary practice located at 1870 W Winchester Rd Ste 248 , Libertyville IL 60048-5360. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gupta, Mohina can be contacted via phone (847) 281-8902.Contact Information
Primary practice address
1870 W Winchester Rd Ste 248
Libertyville IL 60048-5360
Phone: (847) 281-8902
Fax: (847) 281-8906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036103173 | Illinois |
Profile Details
| NPI number | 1174578843 |
|---|---|
| LBN Legal business name | Gupta, Mohina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1174578843 | NPPES |
| Illinois | Other | 336063864 | CONTROLLED SUBSTANCE |
| Illinois | Other | 036103173 | CONTROLLED SUBSTANCE |
| Illinois | MEDICAID | 036103173 | CONTROLLED SUBSTANCE |
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