SUPRIYA GUPTA, MD, Diagnostic Radiology KANKAKEE, IL

Contact Information

SUPRIYA GUPTA, MD

500 W COURT ST
KANKAKEE, IL 60901

Phone: 877-737-4636
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for SUPRIYA GUPTA · (Female)

NPI Number	`1548521883`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/04/2012
Last updated	08/18/2025 - About 10 months ago
Sole proprietor ¹	Yes
Identifiers	CA License # A163071 DE License # C1-0025655 FL License # ME140594 IA License # MD-52771 IL License # 036143198 MI License # 4301501114
Hospital affiliation(s)	CLOVIS COMMUNITY MEDICAL CENTER - (Acute Care) 2755 HERNDON AVE CLOVIS, CA 93611 COMMUNITY REGIONAL MEDICAL CENTER - (Acute Care) 2823 FRESNO STREET FRESNO, CA 93715 MCLAREN-NORTHERN MICHIGAN - (Acute Care) 416 CONNABLE AVE PETOSKEY, MI 49770 PROVENA ST MARYS HOSPITAL - (Acute Care) 500 W COURT ST KANKAKEE, IL 60901 THOREK MEMORIAL HOSPITAL - (Acute Care) 850 W IRVING PARK RD CHICAGO, IL 60613

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SUPRIYA GUPTA, MD – NPI #1548521883Diagnostic Radiology

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for SUPRIYA GUPTA · (Female)

Reviews for SUPRIYA GUPTA

SUPRIYA GUPTA, MD – NPI #1548521883
Diagnostic Radiology