Charu Gupta (NPI# 1689834418, PAC ID# 2365757648) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY.
| Nation Provider ID (NPI) | 1689834418 |
| PAC ID by PECOS | 2365757648 |
| Professional Enrollment ID | I20170112002559 |
| Full Name | Charu Gupta |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Address |
225 N Milwaukee Ave Vernon Hills IL 60061-4304 |
| Phone Number | 8479417600 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2008 |
| Primary Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2163334699 |
| Number of Group Practice Members | 1274 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 | 8479417600 | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Organization Legal Name | NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES |
| Physicians | 1409 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina R Shokry | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 71 Waukegan Rd, Suite 700, Lake Bluff, IL 60044-1614 |
| Amy E Westlake Milroy | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 920 Milwaukee Ave, Lincolnshire, IL 60069-3839 |
| Eamann Ayyad | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr 2nd Floor, Skokie, IL 60077-1057 |
| Jennifer M. Magnuson | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 9977 Woods Dr, Skokie, IL 60077-1057 |
| George Sousanieh | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 777 Park W Ave, Highland Park, IL 60035-2433 |
| Kathleen M Colella | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 2180 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1340 |
| Michelle Elizabeth John | Psychiatry | Northshore University Healthsystem Faculty Practice Associates | 49 S Waukegan Rd, Suite 200, Deerfield, IL 60015-5204 |
| Rebecca Wanting Tsang | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 2150 Pfingsten Rd, Suite 3000, Glenview, IL 60026-1314 |
| Jonathan H Seyfert | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 1329 N Wolf Rd, Mount Prospect, IL 60056-1500 |
| Emily K Andrew | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 1007 Church St, Suite 100, Evanston, IL 60201-5910 |
| Street Address |
225 N MILWAUKEE AVE |
| City | VERNON HILLS |
| State | IL |
| Zip | 60061-4304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason S Kramer | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Diego Cole Villacis | Sports Medicine | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Mihir K Bhayani | Otolaryngology | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Jose Kogan | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Michael E Sprang | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Ashley Marie Knies | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Megan Elizabeth Guetzko Valassis | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Nadeem Zoeb Alavi | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Inna L Podoksik | Internal Medicine | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Lesley Rhee | Gastroenterology | Northshore University Healthsystem Faculty Practice Associates | 225 N Milwaukee Ave, Vernon Hills, IL 60061-4304 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Patrick Molloy | Chiropractic | Molloy Chiropractic Center Inc | 201 A Rte, Suite 45, Vernon Hills, IL 60061 |
| Dennis P Molloy | Chiropractic | Molloy Chiropractic Center Inc | 201 A Rte, Suite 45, Vernon Hills, IL 60061 |
| Nathan J Raders | Chiropractic | 1000 Butterfield Rd, Suite 1005, Vernon Hills, IL 60061-1360 | |
| Silu Lohani | Psychiatry | Rosalind Franklin University Health | 830 W End Ct, Vernon Hills, IL 60061-1365 |
| Patricia L Roy | Psychiatry | Rosalind Franklin University Health | 830 W End Ct, Vernon Hills, IL 60061-1365 |
| Michael J Hartlett | Chiropractic | 870 W End Ct, Suite 206, Vernon Hills, IL 60061-1378 | |
| Fanan N Falouji | Internal Medicine | 870 W End Ct, Suite 202, Vernon Hills, IL 60061-1378 | |
| Antonio A Chua Lee | Internal Medicine | 870 W End Ct, Suite 203, Vernon Hills, IL 60061-1378 | |
| Judith Michelle Shiffman | Clinical Social Worker | 977 Lakeview Pkwy, Suite 180, Vernon Hills, IL 60061-1429 | |
| Stephen Galston | Psychiatry | Neuropsychiatric Associates of Il Sc | 977 Lakeview Pkwy, Suite 170, Vernon Hills, IL 60061-1429 |
| Find all physicians in zip 60061 | |||
| City | VERNON HILLS |
| Zip Code | 60061 |
| Specialty | ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
| City + Specialty | VERNON HILLS + ADVANCED HEART FAILURE AND TRANSPLANT CARDIOLOGY |
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| 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.