Individual ProviderAleea GuptaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address211 W Chicago Ave Ste 210, Hinsdale, IL 60521(630) 286-9192PECOS EnrollmentBased on the most recent information from CMS, provider Aleea Gupta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1023160488Provider TypeIndividualFull NameGupta, AleeaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date1/17/2007Last Updated1/11/2019Contact InformationPractice LocationPractice Address211 W Chicago Ave Ste 210, Hinsdale, IL 60521Phone(630) 286-9192Fax(386) 204-7159Mailing LocationMailing Address211 W Chicago Ave Ste 210, Hinsdale, IL 60521-3358Phone(630) 286-9192Fax(386) 204-7159Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036123729IllinoisCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA69729CaliforniaProvider IdentifiersIDDescriptionIssuerID036123729DescriptionMedicaidIssuerUnlistedIllinois