SANJEEB KHATUA (NPI# 1770777658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770777658 |
Entity Type | Individual |
Full Name | SANJEEB KHATUA |
Credential | M.D. |
Practice Address |
16519 S Rte 59 Plainfield IL 60586-2606 |
Practice Telephone | 6306465020 |
Practice Fax Number | 6306465025 |
Mailing Telephone | 6306465020 |
Mailing Fax Number | 6306465025 |
Enumeration Date | 2007-09-04 |
Last Update Date | 2013-06-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 036123917 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 17707776582 | 05 | |
IL | BCBS | 9933040 | 01 |
Street Address |
16519 S RTE 59 |
City | PLAINFIELD |
State | IL |
Zip Code | 60586-2606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033586342 | Roxana Calafos | Nurse Practitioner | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2015-08-24 |
1598025298 | Julie Miaczynski Jones | Family Medicine | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2012-05-29 |
1093015448 | Kristina Regina Gaspers | Physician Assistant | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2010-11-01 |
1962676585 | Lilia Protaziuk | Family Medicine | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2008-04-15 |
1114111028 | Bob William | Family Medicine | 16519 S Rte 59, Plainfield, IL 60586-2606 | 2007-09-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336658434 | Brigitte L Oetter | Social Worker | 6106 Pheasant Ridge Dr, Plainfield, IL 60586 | 2017-09-21 |
1851730717 | Michelle Sanchez Doersam | Physician Assistant | 16519 S. Route 59, Plainfield, IL 60586 | 2013-06-24 |
1295059665 | Joni Deanne Gruen | Physical Therapy Assistant | 2612 Discovery Dr., Plainfield, IL 60586 | 2010-03-15 |
1225229453 | James G Kulekowskis Jr. | Pharmacist | 16146 S Arbor Drive, Plainfield, IL 60586 | 2007-08-05 |
1346363355 | Beth Ann Boss | Speech-Language Pathologist | 16504 Mueller Cir., Plainfield, IL 60586 | 2007-04-06 |
1457457830 | Edward J Bruno | Radiology | 333 N Madison, Joliet, IL 60586 | 2006-09-15 |
1497850044 | Rachel Z Mika | Physical Therapist | 6619 Mountain Ridge Pass, Plainfield, IL 60586 | 2006-09-14 |
1427060888 | Neil R Fried | Podiatrist | 15921 Hometown Dr, Plainfield, IL 60586 | 2006-08-13 |
1497701924 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 2480 S Route 59, Plainfield, IL 60586 | 2006-05-26 |
1164473609 | Women's Center for Health L P | Obstetrics & Gynecology | 15900 S Frederick St, Plainfield, IL 60586 | 2006-05-12 |
Find all providers in zip 60586 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780071050 | Fayeza Mohammed | Family Medicine | 24600 W 127th St Ste B100, Plainfield, IL 60585 | 2015-04-23 |
1063850576 | Philip A. Blaney | Family Medicine | 315 N Dan Jones Rd Ste 120, Plainfield, IN 46168 | 2013-06-06 |
1235572124 | Kristy Mount | Family Medicine | 1100 Southfield Dr Ste 1310, Plainfield, IN 46168-4499 | 2013-04-10 |
1902147507 | Stirling Health & Wellness LLC | Family Medicine | 1655 Hawthorne Dr Ste A&b, Plainfield, IN 46168-1895 | 2013-03-06 |
1518298629 | Edward Health Ventures | Family Medicine | 15905 S Frederick St Ste 105, Plainfield, IL 60586-2212 | 2010-01-29 |
1467600809 | Devang Patel | Family Medicine | 14855 S Van Dyke Rd, #294, Plainfield, IL 60544-4369 | 2008-08-27 |
1851585863 | Rajesh T Patel | Family Medicine | 1416 Park Ave, Plainfield, NJ 07060-2911 | 2007-09-03 |
1821296260 | Cindy De Neira | Family Medicine | 315 N Dan Jones Rd Ste 150, Plainfield, IN 46168-2848 | 2007-07-06 |
1528273166 | Lynn T Schuetz | Family Medicine | 2155 E Main St, Plainfield, IN 46168-1816 | 2007-05-14 |
1710191135 | Plainfield Walk In Medical Center LLC | Family Medicine | 558 Norwich Rd, Plainfield, CT 06374-1725 | 2007-05-09 |
Find all providers in PLAINFIELD |
City | PLAINFIELD |
Zip Code | 60586 |
Please comment or provide details below to improve the information on SANJEEB KHATUA.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.