SHIVANI GUPTA

OAK LAWN, IL
NPI1467864389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  036-161214)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: LA  MD320466)
Enumeration Date2014-05-27
Last Update Date2023-07-05
Business Address
SHIVANI GUPTA DO
4400 W 95TH ST STE 306
OAK LAWN, IL 60453-2659
Phone number: 708-684-5428
Mailing Address
SHIVANI GUPTA DO
1111 MEDICAL CENTER BLVD STE S750
MARRERO, LA 70072-3197
Phone number: