Dr Renu Gupta, MD | |
1675 Dempster St Fl 1, Park Ridge, IL 60068-1110 | |
(847) 318-9300 | |
(847) 723-9583 |
Full Name | Dr Renu Gupta |
---|---|
Gender | Female |
Speciality | Hospitalist |
Location | 1675 Dempster St Fl 1, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982618344 | NPI | - | NPPES |
036109937 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036109937 (Illinois) | Secondary |
208M00000X | Hospitalist | 036109937 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Dr Renu Gupta, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Renu Gupta, MD 1675 Dempster St Fl 1, Park Ridge, IL 60068-1110 Ph: (847) 318-9300 |
Val Valencia, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-8080 | |
Gaurav Chaturvedi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1775 Ballard Rd, Park Ridge, IL 60068 Phone: 847-318-9340 Fax: 847-318-2966 | |
Razan Dafalla, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-9330 Fax: 847-723-9441 | |
Dr. Ningjing Li, MD, PHD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 215 N Knight Ave, Park Ridge, IL 60068 Phone: 630-222-8769 | |
Archana Shukla, Hospitalist Medicare: Medicare Enrolled Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-318-9300 |