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1396063046
GAUTAM GUPTA MD LLC
ROCKFORD, IL
NPI
1396063046
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Entity Type
Organization
Authorized Contact
GAUTAM GUPTA
Owner
815-229-1899
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2010-05-05
Last Update Date
2010-05-05
Business Address
GAUTAM GUPTA MD LLC
6090 STRATHMOOR DR
ROCKFORD, IL 61107-6628
Phone number: 815-229-1899
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Mailing Address
GAUTAM GUPTA MD LLC
4525 FOREST VIEW AVE
ROCKFORD, IL 61108-6406
Phone number: 815-965-8505
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