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General NPI Number Information
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NPI Number | 1134194103
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Entity Type | Organization
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Legal Business Name | GAMA, LLC
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 326 W 64TH ST SUITE 208
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City | CHICAGO
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State | IL
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Zip | 60621-3114
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Country | US
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Telephone | 773-962-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 1730 PARK ST SUITE 101
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City | NAPERVILLE
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State | IL
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Zip | 60563-2688
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Country | US
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Telephone | 630-718-0200
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Fax | 630-718-0900
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRAHMA GUPTA
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Credential | M.D.
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Telephone | 630-718-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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