MEDICARE: GAMA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician
3	207RP1001X	Pulmonary Disease Physician
4	208600000X	Surgery Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02223006	OTHER	IL	BLUE CROSS / BLUE SHIELD

General Provider Information

NPI Number	:	1134194103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAMA, LLC

Provider Business Mailing Address
First Line	:	1730 PARK ST
Second Line	:	SUITE 101
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-2688
Country	:	US
Telephone Number	:	630-718-0200
Fax Number	:	630-718-0900

Provider Business Practice Location Address
First Line	:	326 W 64TH ST
Second Line	:	SUITE 208
City	:	CHICAGO
State	:	IL
Zip	:	60621-3114
Country	:	US
Telephone Number	:	773-962-3900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRAHMA GUPTA
Credential	:	M.D.
Telephone Number	:	630-718-0200

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	09/11/2025

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Directions to “GAMA, LLC ” Practice Location

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