Most Relevant Information
Provider Data
| NPI Number: | 1003069535 |
| Provider Name: | SUPARNA DUTTA M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | 238252 |
Most Important Dates
| Enumeration Date: | 10/28/2008 |
| Last Updated: | 05/14/2013 |
Provider Practice Location
1700 W VAN BUREN ST
SUITE 500
CHICAGO
IL
606125500
Practice Location Phone/Fax
| Phone: | 3129424200 |
| Fax: | 3129423568 |
Provider Mailing Location
1700 W VAN BUREN ST
SUITE 500
CHICAGO
IL
606125500
Provider Mailing Phone/Fax
| Phone: | 3129424200 |
| Fax: | 3129423568 |
Suggested EMR
Internist EMR