Vanita Gupta (NPI# 1760583629, PAC ID# 2365458320) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760583629 |
| PAC ID by PECOS | 2365458320 |
| Professional Enrollment ID | I20060228000446 |
| Full Name | Vanita Gupta |
| Organization Legal Name | ELGIN FAMILY PHYSICIANS, SC |
| Address |
1435 Randall Rd Suite 301 Elgin IL 60123-2304 |
| Phone Number | 8478883661 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9335211788 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140030 | ADVOCATE SHERMAN HOSPITAL |
| 140217 | PRESENCE SAINT JOSEPH HOSPITAL - ELGIN |
| Address | Phone | Organization |
|---|---|---|
| 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 | 8478883661 | ELGIN FAMILY PHYSICIANS, SC |
| 87 N Airlite St, Suite 130, Elgin, IL 60123-4991 | 8478883661 | ELGIN FAMILY PHYSICIANS, SC |
| Organization Legal Name | ELGIN FAMILY PHYSICIANS, SC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothea Poulos | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Fatima Ahmed | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Victor H Colin | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Joanne Debrah | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Street Address |
1435 RANDALL RD SUITE 301 |
| City | ELGIN |
| State | IL |
| Zip | 60123-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorothea Poulos | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Fatima Ahmed | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Victor H Colin | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Joanne Debrah | Family Medicine | Elgin Family Physicians, Sc | 1435 Randall Rd, Suite 301, Elgin, IL 60123-2304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig M Torosian | Hand Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Jeffrey A Jacoby | Orthopedic Surgery | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Kevan E Ketterling | Sports Medicine | Fox Valley Orthopaedic Associates, S.c. | 1975 Lin Lor Lane, Elgin, IL 60123 |
| Yasser Alhaj -hussein | Anesthesiology | 1554 Todd Farm Dr, Elgin, IL 60123-1287 | |
| Mukund Komanduri | Orthopedic Surgery | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Pocholo S Florentino | Family Medicine | Elgin Surgicare LLC | 1550 Todd Farm Dr, Elgin, IL 60123-1287 |
| Mario J Astacio | Physician Assistant | 1140 N Mclean Blvd, Unit C, Elgin, IL 60123-1782 | |
| Seung Hyun Jung | Chiropractic | 1530 Weatherstone Ln, Elgin, IL 60123-2019 | |
| Joseph Fred Ferstl | Chiropractic | 1557 Weatherstone Lane, Elgin, IL 60123-2019 | |
| Annie W Kot | Clinical Social Worker | Ecker Center for Mental Health | 1475 Royal Blvd, Elgin, IL 60123-2040 |
| Find all physicians in zip 60123 | |||
| City | ELGIN |
| Zip Code | 60123 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ELGIN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Vanita Gupta.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.