PURNENDU GUPTA (NPI# 1740358308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740358308 |
Entity Type | Individual |
Full Name | PURNENDU GUPTA |
Credential | MD |
Practice Address |
2211 North Oak Park Avenue Suite 3a Chicago IL 60707-3329 |
Mailing Address |
2211 North Oak Park Avenue Chicago IL 60707-3329 |
Practice Telephone | 7733855497 |
Practice Fax Number | 7733855488 |
Mailing Telephone | 7733855497 |
Mailing Fax Number | 7733855488 |
Enumeration Date | 2006-12-01 |
Last Update Date | 2016-09-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
36086266 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036086266 | 05 |
Street Address |
2211 NORTH OAK PARK AVENUE SUITE 3A |
City | CHICAGO |
State | IL |
Zip Code | 60707-3329 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518071398 | Peter A Smith | Orthopaedic Surgery | 2211 North Oak Park Avenue, Shriners Hospital for Children Chicago, Chicago, IL 60707-3392 | 2006-08-18 |
1558912873 | Lisa Arteaga | Dietitian, Registered | 2211 North Oak Park Avenue, Chicago, IL 60707 | 2019-09-27 |
1306145115 | Amanda Michelle Wizinsky | Physical Therapist | 2211 North Oak Park Avenue, Chicago, IL 60707 | 2011-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679077408 | Karen Ennis, Slp, Inc. | Speech-Language Pathologist | 1709 73rd Ct, Elmood Park, IL 60707 | 2018-03-19 |
1518324995 | Dosha Grant | Registered Nurse | 2317 N Rutherford, Elmwood Park, IL 60707 | 2016-01-15 |
1962774794 | Oak Park Dental Group | Dentist | 7034 W. North Ave., Chicago, IL 60707 | 2012-02-09 |
1326277005 | Resurrection Services | Internal Medicine | 2433 North Harlem Ave, Ste 100, Chicago, IL 60707 | 2009-07-02 |
1134370059 | Mefagui Dental Office P.C. | Dentist | 6913 W. Grand Ave, Chicago, IL 60707 | 2008-10-09 |
1821265760 | Carly M. Smith | Chiropractor | 7716 W. North, Elmwood Pk, IL 60707 | 2008-05-09 |
1063695096 | Henry J. Hagopian D.d.s. P.C. | Dentist | 7518 W. North Avenue, Elmwood Park, IL 60707 | 2007-12-13 |
1386864411 | Brian M Caraba Dds PC | Dentist | 7124 W Diversey Ave, Chicago, IL 60707 | 2007-04-30 |
1104041243 | Clinics for Wellness and Neuropathy, LLC | Internal Medicine | 2333 N. Harlem, Chicago, IL 60707 | 2007-04-16 |
1972621050 | Sid Anderson | Psychologist | 2408 Westbrook Drive, Elmwood Park, IL 60707 | 2007-03-27 |
Find all providers in zip 60707 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609940972 | Giri T Gireesan | Orthopaedic Surgery | 676 North St Clair St, #1777, Chicago, IL 60611 | 2006-11-20 |
1346278017 | Mark J. Sokolowski | Orthopaedic Surgery | 1743 N Harlem Ave, Chicago, IL 60707-4305 | 2006-06-29 |
1134506405 | Nicholas Alan Shepard | Orthopaedic Surgery | 1611 W Harrison St, Chicago, IL 60612-4861 | 2015-05-06 |
1578974994 | Krishn Khanna | Orthopaedic Surgery | 1611 W Harrison St Ste 300, Chicago, IL 60612-4861 | 2014-05-20 |
1619242799 | Julie M. Wehner Md Sc | Orthopaedic Surgery | 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 | 2012-03-21 |
1396045464 | Mark J Sokolowski Md Sc | Orthopaedic Surgery | 1743 N Harlem Ave, Chicago, IL 60707-4305 | 2010-10-23 |
1366754699 | Gregory David Lopez | Orthopaedic Surgery | 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 | 2010-07-01 |
1205002607 | Matthew Wesley Colman | Orthopaedic Surgery | 1611 W Harrison St, Ste 300, Chicago, IL 60612-4861 | 2008-05-06 |
1952334948 | Christopher J Dewald | Orthopaedic Surgery | 1611 W Harrison St, Ste 400, Chicago, IL 60612-3841 | 2006-07-10 |
1730153065 | Julie Wehner | Orthopaedic Surgery | 3000 N Halsted St, Suite 611, Chicago, IL 60657-5188 | 2006-02-14 |
Find all providers in CHICAGO |
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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.