Charu Gupta
Medical Specialty
Professional ID
- NPI: 1689834418
- PECOS ID: 2365757648
- Enrollment ID: I20170112002559
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Southwestern Medical School At Dallas
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 140010
- Business Name (LBN)1: Evanston Hospital
Medical Practices
- Organization Name: Northshore University Healthsystem Faculty Practice Associates
- Group Practice ID assigned by PECOS: 2163334699
- Number of Group Practice member: 1209
Location
- Address1: 225 N Milwaukee Ave
- Address2:
- City: Vernon Hills
- State: Illinois
- Zip Code: 60061
- Phone Number: (847)941-7600
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):