Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gautam Dua

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871116699

Gautam Dua is a Student in an Organized Health Care Education/Training Program in North Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone: (847) 578-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1871116699
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 27, 2020
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020
Mailing address3333 Green Bay Rd, North Chicago, IL 60064-3037

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