CHARU GUPTA (NPI# 1689834418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689834418 |
| Entity Type | Individual |
| Full Name | CHARU GUPTA |
| Credential | MD |
| Practice Address |
225 N Milwaukee Ave Vernon Hills IL 60061 |
| Mailing Address |
225 N Milwaukee Ave Vernon Hills IL 60061-4304 |
| Practice Telephone | 8476638410 |
| Practice Fax Number | 8475701865 |
| Mailing Telephone | 8476638410 |
| Mailing Fax Number | 8475701865 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2019-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036142074 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036142074 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
036142074 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 69 Jesse Hill Jr Dr Se, Atlanta, GA 303033033 | 4046167028 | 4045252957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477052603 | Charu Gupta | Physician Assistant | 635 Potomac Station Dr Ne, Leesburg, VA 20176-1818 | 2018-02-02 |
| 1457506792 | Charu Gupta | Family Medicine | 2 North Road, Chester, NJ 07094-1826 | 2008-12-01 |
| 1306020565 | Charu Dhingra Gupta | Obstetrics & Gynecology | 66 Hawk Ridge Dr, Las Vegas, NV 89135-7864 | 2007-12-24 |
| 1073870002 | Charu Gupta | Pediatrics | 111 Michigan Ave Nw, Children's National Medical Center, Washington, DC 20010-2916 | 2012-04-16 |
| 1457596041 | Charu Smita Gupta | Physical Therapist | 16201 Allen Rd, Southgate, MI 48195-7903 | 2008-12-10 |
| 1003026436 | Charu Gupta | Counselor | Chdd Columbia Rd, Box 357920 Room 205, Seattle, WA 98195-7920 | 2007-05-23 |
| Street Address |
225 N MILWAUKEE AVE |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730189713 | John Nicholas Kiriklakis | Internal Medicine | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2005-07-29 |
| 1376003830 | Caitlin Ashley Kendler | Physical Therapist | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2019-03-21 |
| 1891114849 | Anna Maria Giorgetti | Internal Medicine | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2014-04-07 |
| 1427317668 | Megan Elizabeth Guetzko Valassis | Obstetrics & Gynecology | 225 N Milwaukee Ave, Vernon Hills, IL 60061 | 2012-05-08 |
| 1295034569 | Luzheng Liu | Dermatology | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2011-03-25 |
| 1043454739 | Donna R. Warder | Registered Nurse | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2009-04-24 |
| 1730345802 | Megan Mulvey Worthington | Audiologist | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2008-07-29 |
| 1750440251 | Susan M. Thomas | Internal Medicine | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2006-12-08 |
| 1679632129 | Inna Podoksik | Internal Medicine | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2006-12-08 |
| 1851450654 | Vincent E. Fang | Internal Medicine | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 2006-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 207RA0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Advanced Heart Failure and Transplant Cardiology |
| Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. |
| Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275049876 | Amanda Mcginnis | Internal Medicine | 4440 W 95th St Fl Street6, Oak Lawn, IL 60453-2600 | 2017-12-18 |
| 1750849675 | Karlo Vincent Buenconsejo Benig | Internal Medicine | 4400 W. 95th Street, Opp 6th Floor, Oak Lawn, IL 60453-2654 | 2019-03-10 |
| 1881983575 | Anjali Anil Joshi | Internal Medicine | 4400 W 95th St Ste 308, Oak Lawn, IL 60453-2660 | 2011-04-04 |
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on CHARU GUPTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.