SANJEEB KHATUA


Address: 16519 S Rte 59, Plainfield, IL 60586-2606
Phone: 6306465020

SANJEEB KHATUA (NPI# 1770777658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036123917 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 17707776582 05
IL BCBS 9933040 01

Office Location

Street Address 16519 S RTE 59
City PLAINFIELD
State IL
Zip Code 60586-2606

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City PLAINFIELD
Zip Code 60586

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Dataset Information

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.

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