Madhu Gupta
Individual provider Active NPI Physical Therapist · Elk Grove, IL
NPI 1619147279 · NPPES record last updated Aug 4, 2011
Key facts
- NPI
- 1619147279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070007516 (IL)
- Practice address
- 136 Biesterfield Road
Mexian Brother Corporate Health
Elk Grove, IL 60007 - Phone
- (847) 981-5910
- Fax
- (847) 956-5420
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070007516 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divyang a Joshi MD PC | Current |
Accepting new patients | |
| Global Care S.C. | Past |
Accepting new patients | |
| Fox Valley Ear, Nose and Throat, Assoc., S.C. | Past |
Accepting new patients |
Locations
750 Fletcher Dr
Ste 200
Elgin, IL 60123
Phone (847) 888-8802
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070007516 | IL | Yes |
Addresses
Primary practice location
136 Biesterfield Road
Mexian Brother Corporate Health
Elk Grove, IL 60007
Mailing address
136 Biesterfield Road
Mexian Brother Corporate Health
Elk Grove, IL 60007
Phone (847) 981-5910
Other providers in Elk Grove, IL
- Brandy Arnett
- Maria Assunta Castellese
- Dr. William J McSweeney
- Kathleen Drwila
- Mark J Gordon
- Thomas J Hinkamp
- Kuttoppilly N Krishnankutty
- Roman Leung
- Vera Helena Masutti
- Mea Elk Grove LLC
All providers in Elk Grove, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.