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Sushane Gupta
Student in an Organized Health Care Education/Training Program in Hazel Crest, Illinois
NPI 1467015941

Sushane Gupta is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Sushane Gupta practices in Hazel Crest, IL. The NPI Number for Sushane Gupta is 1467015941 and holds a License No. 036159430 (Illinois).

The current practice location address for Sushane Gupta is 17800 Kedzie Ave, Hazel Crest, IL and can be reached out via phone at 708-213-4200 and via fax at 708-213-0144.

Location: 17800 Kedzie Ave, Hazel Crest, IL, 60673-1293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467015941
Provider Name
Sushane Gupta
Credential
Provider Entity Type
Individual
Gender
Male
Address
17800 Kedzie Ave, Hazel Crest, IL, 60673-1293
Phone Number
708-213-4200
Fax Number
708-213-0144
Provider Enumeration Date
04/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036-159430 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
17800 Kedzie Ave
City
Hazel Crest
State
Illinois
Zip
60429-2029
Phone Number
708-213-4200
Fax Number
708-213-0144
person
Provider Business Mailing Address Details
Address
17800 Kedzie Ave
City
Hazel Crest
State
Illinois
Zip
60429-2029
Phone Number
708-213-4200
Fax Number
708-213-0144
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
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Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
036159430 (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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