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Search › Illinois › 208M00000X

Pavan Gupta, DO

NPI 1770087231 · on the registry since 2018

Practice

Address
12251 S 80th Ave
Palos Heights, IL 60463
Phone
(708) 923-4000
Fax
(708) 923-5859
Organisation at this address
Ap Lab Partners Sc
Palos Diagnostics Sc
Palos Community Hospital
Palos Community Hospital
Palos Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
264

Additional practice sites

  • 1000 N Westmoreland Rd, Lake Forest, IL
  • 1475 E Belvidere Rd, Grayslake, IL

Registry record

Primary taxonomy
208M00000X
208M00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois