Sushane Gupta

NPI #1467015941 in Hazel Crest, Illinois

Provider Information

NPI Number: 1467015941
Entity Type: Individual
Name: Sushane Gupta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 19, 2019
Last Updated: Jul 3, 2023

Practice Location

Address: 17800 KEDZIE AVE
City: Hazel Crest
State: Illinois
ZIP Code: 60429-2029
Phone: (708) 213-4200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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