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Supriya Gupta, MD
Diagnostic Radiology Physician in Kankakee, Illinois
NPI 1548521883

Supriya Gupta is a Diagnostic Radiology Physician based in Western Springs, IL and is specialized in Diagnostic Radiology. Supriya Gupta practices in Kankakee, IL and has the professional credentials of MD. The NPI Number for Supriya Gupta is 1548521883 and holds a License No. 036.143198 (Illinois).

The current practice location address for Supriya Gupta is 500 W Court St, Kankakee, IL and can be reached out via phone at 877-737-4636.

Location: 500 W Court St, Kankakee, IL, 60558-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548521883
Provider Name
Supriya Gupta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
500 W Court St, Kankakee, IL, 60558-5000
Phone Number
877-737-4636
Fax Number
Provider Enumeration Date
06/04/2012
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
500 W Court St
City
Kankakee
State
Illinois
Zip
60901
Phone Number
877-737-4636
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Court St
City
Kankakee
State
Illinois
Zip
60901
Phone Number
877-737-4636
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036.143198 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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