MEDICARE: DR. ANIL GUPTA M.D.

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	207Q00000X	Family Medicine Physician		IL

General Provider Information

NPI Number	:	1801953211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANIL GUPTA M.D.

Provider Business Mailing Address
First Line	:	2712 BROADWAY ST
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2342
Country	:	US
Telephone Number	:	618-244-2000
Fax Number	:	618-244-6625

Provider Business Practice Location Address
First Line	:	2712 BROADWAY ST
Second Line	:
City	:	MOUNT VERNON
State	:	IL
Zip	:	62864-2342
Country	:	US
Telephone Number	:	618-244-2000
Fax Number	:	618-244-6625

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

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1366432130 — PROMPT CARE
Practice Location Address:

2712 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-244-2000
Practice Fax: 618-244-6625

1003807157 — DR. MURKE FRANKLIN HARRISON DO LTD
Practice Location Address:

2712 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-244-2000
Practice Fax: 618-244-6625

1467555235 — HIGHLAND PARK CVS, L.L.C.
Practice Location Address:

2700 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-242-2074
Practice Fax:

1316211345 — FRANKLIN HARRISON DO
Practice Location Address:

2712 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-244-2000
Practice Fax: 618-244-6625

1144823873 — RYAN CROUSE
Practice Location Address:

2700 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-242-2074
Practice Fax:

1598360448 — BRIA SIMS
Practice Location Address:

2700 BROADWAY ST
MOUNT VERNON, IL
62864-2342

Practice Phone: 618-242-2074
Practice Fax:

Directions to “ DR. ANIL GUPTA M.D.” 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.