Gupta, Sanjeev
Gupta, Sanjeev is an individual health care provider with primary practice located at 525 E Congress Pkwy Ste 350 , Crystal Lake IL 60014-6271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gupta, Sanjeev can be contacted via phone (815) 479-7490.Contact Information
Primary practice address
525 E Congress Pkwy Ste 350
Crystal Lake IL 60014-6271
Phone: (815) 479-7490
Fax: (815) 455-2654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036100728 | Illinois |
Profile Details
| NPI number | 1659471175 |
|---|---|
| LBN Legal business name | Gupta, Sanjeev |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Dec 20th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659471175 | NPPES |
| Illinois | Other | 110217799 | MEDICARE RAILROAD |
| Illinois | Other | 0364380077 | MEDICARE RAILROAD |
| Illinois | MEDICAID | 036100728 | MEDICARE RAILROAD |
| Illinois | Other | 05623656 | MEDICARE RAILROAD |
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