SUPRIYA GUPTA

KANKAKEE, IL
NPI1548521883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036.143198)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: IA  MD-52771)
2085R0202X Radiology, Diagnostic Radiology
(Licence: DE  C1-0025655)
2085R0202X Radiology, Diagnostic Radiology
(Licence: FL  ME140594)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301501114)
Enumeration Date2012-06-04
Last Update Date2024-08-19
Business Address
SUPRIYA GUPTA MD
500 W COURT ST
KANKAKEE, IL 60901
Phone number: 877-737-4636
Mailing Address
SUPRIYA GUPTA MD
1036 HICKORY DR
WESTERN SPRINGS, IL 60558-5000
Phone number: