Doctor Name: | DR. NEIL MANU GUPTA |
NPI Number: | 1205033248 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036124219 |
Business Practice Address: | 9000 Waukegan Rd Suite 110 Morton Grove, IL - 600532127 |
Business Phone Number: | 8472132700 |
Business Fax Number: | |
Mailing Address: | 9000 Waukegan Rd, Suite 110 MORTON GROVE |
State: | IL |
Postal Code: | 600532127 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 036124219 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |