Suraj Amar Gupta, MD | |
1775 Dempster St, Park Ridge, IL 60068-1143 | |
(847) 723-5020 | |
Not Available |
Full Name | Suraj Amar Gupta |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 12 Years |
Location | 1775 Dempster St, Park Ridge, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225393804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125.061269 (Illinois) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 000000000 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Advocate Christ Hospital & Medical Center | Oak lawn, IL | Hospital |
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Imaging Consultants Llc | 2567784408 | 169 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
Mailing Address | Practice Location Address |
---|---|
Suraj Amar Gupta, MD 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068-1343 Ph: (804) 803-1000 | Suraj Amar Gupta, MD 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-5020 |
Michael S. Siegfried, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Dr. Tanya M Powell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln, Park Ridge, IL 60068 Phone: 630-205-6612 Fax: 847-698-0601 | |
John V. Phillips, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1420 Renaissance Dr, Suite #307, Park Ridge, IL 60068 Phone: 847-803-1000 | |
Thomas Grobelny, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Luther Ln Ste 1170, Park Ridge, IL 60068 Phone: 844-376-3876 | |
Samuel Thomas Rajkowski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 | |
Anil Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1775 W Dempster St Dept Of, Park Ridge, IL 60068 Phone: 847-723-8236 Fax: 847-723-8522 | |
Dr. Mara B Stephenson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Renaissance Dr Ste 307, Park Ridge, IL 60068 Phone: 847-803-1000 Fax: 847-803-1098 |