IndividualActive
Anuja Gupta, MD
NPI 1013938257 · Pediatric Cardiology Physician · Kankakee, IL
Provider details
- NPI number
- 1013938257
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 2004-0758 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
500 N Wall St
Suite 100
Kankakee, IL 60901-2942
Phone: (815) 933-2557
Approximate (ZIP-level) locationGet directions
Mailing address
1905 W Court St
Kankakee, IL 60901-3163
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2010-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.