SearchIllinois207R00000X

Sanjeev Gupta, MD

NPI 1659471175 · on the registry since 2006

Practice

Address
525 E Congress Pkwy Ste 350
Crystal Lake, IL 60014
Phone
(815) 479-7490
Fax
(815) 455-2654
Organisation at this address
Derick Dermatology, Pllc
Crystal Lake Immediate Care Physicians Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
35

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois