MEDICARE: MS. GITA RUPANI 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	036063645	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316002538
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GITA RUPANI MD

Provider Business Mailing Address
First Line	:	1515 SOUTH PRAIRIE AVE
Second Line	:	#1306
City	:	CHICAGO
State	:	IL
Zip	:	60605
Country	:	US
Telephone Number	:	312-880-0087
Fax Number	:	773-834-2218

Provider Business Practice Location Address
First Line	:	1515 SOUTH PRAIRIE AVE
Second Line	:	#1306
City	:	CHICAGO
State	:	IL
Zip	:	60605-3043
Country	:	US
Telephone Number	:	312-880-0087
Fax Number	:	773-834-2218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	12/22/2021

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