Gautam Gupta
Gautam Gupta is an Internal Medicine Physician in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
6090 Strathmoor Dr Ste #4Rockford, IL 61107-6628
Phone: (815) 229-1899
Fax: (815) 231-1218
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X (IL) |
|---|
Record details
| NPI number | 1023177128 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gautam Gupta — Sole Proprietor · (815) 229-1899 |
| NPI enumerated | December 6, 2006 |
| Last updated in NPPES | November 7, 2007 |
| Mailing address | 6090 Strathmoor Dr, Suite #4, Rockford, IL 61107-6628 |
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