RAKESH KUMAR GUPTA

BLOOMINGTON, IL
NPI1629754874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125.082095)
Enumeration Date2023-06-23
Last Update Date2023-06-23
Business Address
RAKESH KUMAR GUPTA MD
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701-4364
Phone number: 309-662-3311
Mailing Address
RAKESH KUMAR GUPTA MD
1445 MEDFIELD AVE
BALTIMORE, MD 21211-1528
Phone number: 667-910-4071
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