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Punita Gupta, MD
Specialist in Chicago, Illinois
NPI 1073709457

Punita Gupta is a Specialist based in Tuckahoe, IL. Punita Gupta practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Punita Gupta is 1073709457 and holds a License No. 125053691 (Illinois).

The current practice location address for Punita Gupta is 840 S Wood St, Chicago, IL and can be reached out via phone at 312-996-6043.

Location: 840 S Wood St, Chicago, IL, 10707-3213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073709457
Provider Name
Punita Gupta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
840 S Wood St, Chicago, IL, 10707-3213
Phone Number
312-996-6043
Fax Number
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
840 S Wood St
City
Chicago
State
Illinois
Zip
60612-4325
Phone Number
312-996-6043
Fax Number
person
Provider Business Mailing Address Details
Address
840 S Wood St
City
Chicago
State
Illinois
Zip
60612-4325
Phone Number
312-996-6043
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA09328300 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125053691 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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