| Gupta Medical Clinic Ltd | |
|
284 Memorial Ct Ste B Crystal Lake IL 60014-6231 | |
| (815) 459-8240 | |
| (815) 459-8470 |
| Full Name | Gupta Medical Clinic Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 284 Memorial Ct Ste B, Crystal Lake, Illinois |
| Authorized Official Name and Position | Sanjeev Gupta (OWNER) |
| Authorized Official Contact | 8154598240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gupta Medical Clinic Ltd 284 Memorial Ct Ste B Crystal Lake IL 60014-6231 Ph: (815) 459-8240 | Gupta Medical Clinic Ltd 284 Memorial Ct Ste B Crystal Lake IL 60014-6231 Ph: (815) 459-8240 |
| NPI Number | 1942352547 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 11/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942352547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036100728 (Illinois) | Primary |
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