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Individual
DR. SANJEEV GUPTA
Active
Individual
DR. SANJEEV GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036100728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100728
—
IL
01
—
0364380077
COMMERCIAL
IL
01
—
05623656
BCBS
IL
01
—
110217799
MEDICARE RAILROAD
IL
Enumeration date
09/24/2006
Last updated
05/28/2025
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