Provider profile

Individual

Supriya Gupta

Radiology in Kankakee, IL. NPI 1548521883, listed in the CMS NPI Registry since 06/04/2012. Bills Medicare.

NPI 1548521883Specialty RadiologyEnumerated 06/04/2012
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Registry and Medicare facts

Practice location
500 W Court St, Kankakee, IL 60901
CMS NPI Registry
Phone
(877) 737-4636
CMS NPI Registry
Specialty
Radiology
CMS NPI Registry
Subspecialty
Diagnostic Radiology
CMS NPI Registry
Enumeration date
06/04/2012
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
4,691 Part B
CMS Medicare 2024

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