Gupta, Roop

Gupta, Roop is an sole proprietor health care provider with primary practice located at 5446 Kirk St , Morton Grove IL 60053-3611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Gupta, Roop can be contacted via phone (312) 201-0536.

Contact Information

Primary practice address
5446 Kirk St Morton Grove IL 60053-3611
Phone: (312) 201-0536
Fax: (312) 201-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036069245 Illinois

Profile Details

NPI number 1184600991
LBN Legal business name Gupta, Roop
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2005
Last updated Feb 23rd, 2008 - about 18 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 1184600991 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036069245 BCBS OF IL

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