DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SURAJ AMAR GUPTA MD

MEDICARE: SURAJ AMAR GUPTA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician036-139687IL

General Provider Information

NPI Number : 1225393804
Entity Type Code : Individual
Provider Name (Legal Business Name) : SURAJ AMAR GUPTA MD
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1775 DEMPSTER ST
Second Line :
City : PARK RIDGE
State : IL
Zip : 60068-1143
Country : US
Telephone Number : 847-723-5020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 04/09/2026

Similar Medicare Providers

1356976443 — DR. ANIS ADNANI MD
Practice Location Address:
1775 DEMPSTER ST
PARK RIDGE, IL
60068-1143
Practice Phone: 847-723-7624
Practice Fax:
1992139281 — KRISTINE BOWERSOX PA-C
Practice Location Address:
1775 DEMPSTER ST STE E592C
PARK RIDGE, IL
60068-1143
Practice Phone: 312-609-0300
Practice Fax:
1801151949 — MS. NEKAIYA JACOBS PRATT M.D.
Practice Location Address:
1775 DEMPSTER ST
PARK RIDGE, IL
60068-1143
Practice Phone: 847-723-8409
Practice Fax: 847-723-9470
1053253435 — DR. ELINOR BENSHABAT MD
Practice Location Address:
1775 DEMPSTER ST
PARK RIDGE, IL
60068-1143
Practice Phone: 847-723-2210
Practice Fax: 847-759-8273
1477495711 — MIKAYLA LANG PHARM.D.
Practice Location Address:
1775 DEMPSTER ST
PARK RIDGE, IL
60068-1143
Practice Phone: 847-723-2210
Practice Fax:
1750086260 — HENRY SAHN MD
Practice Location Address:
1775 DEMPSTER ST
PARK RIDGE, IL
60068-1143
Practice Phone: 847-723-2210
Practice Fax: 847-723-6947

Directions to “ SURAJ AMAR GUPTA MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.