Active NPI 1659471175 Individual Practitioner Male Practitioner

Dr. Sanjeev Gupta , MD

Internal Medicine • Crystal Lake, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sanjeev Gupta, MD is a certified Internal Medicine practicing in Crystal Lake, IL. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Gupta delivers high-quality medical care to the local community at 525 E CONGRESS PKWY STE 350.

Dr. Gupta is affiliated with Advocate Health And Hospitals Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

525 E Congress Pkwy Ste 350

Crystal Lake, IL 600146271

Telephone 8154797490

Fax 8154552654

Associated Practice Facility / Clinic

🏢 Crystal Lake Immediate Care Physicians Ltd. Facility NPI 1538517198

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Crystal Lake, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +8.2 yrs vs City Avg

City Avg: 31.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

18 Specialists

Practicing in Crystal Lake, IL (7544 Statewide)

Telehealth Adoption Rate

38.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gupta (40 Years) 40 Yrs

Crystal Lake Specialty Average (31.8 Years) 31.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	737	318	$278.89	$121.19
36415 Insertion of needle into vein for collection of blood sample	512	305	$22.00	$8.57
99213 Established patient office or other outpatient visit, typically 15 minutes	314	257	$198.00	$85.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	208	208	$332.00	$121.80
G0008 Administration of influenza virus vaccine	144	137	$60.00	$31.15
90662 Influenza vaccine split virus, preservative free	139	132	$125.00	$79.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	43	$261.00	$114.38
83036 Hemoglobin A1C level	91	69	$68.00	$9.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	87	28	$177.00	$77.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	58	$459.00	$162.42
99239 Hospital discharge day management, more than 30 minutes	67	52	$254.00	$105.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	46	$391.81	$172.57
99495 Transitional care management services for problem of at least moderate complexity	24	21	$507.00	$187.44
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	20	18	$168.00	$50.63
G0009 Administration of pneumococcal vaccine	20	20	$60.00	$31.15
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	20	20	$481.00	$287.94
99496 Transitional care management services for problem of high complexity	19	17	$713.00	$238.81
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$82.00	$13.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$498.00	$157.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$370.00	$160.80
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$371.00	$149.92
81003 Automated urinalysis test	13	12	$21.00	$2.20
99238 Hospital discharge day management, 30 minutes or less	13	12	$177.00	$80.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	764	316	$259.00	$122.12
36415 Insertion of needle into vein for collection of blood sample	361	241	$22.00	$8.34
99213 Established patient office or other outpatient visit, typically 15 minutes	320	260	$178.00	$85.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$316.00	$121.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	56	$248.00	$118.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	42	$168.00	$78.35
G0008 Administration of influenza virus vaccine	137	132	$55.44	$32.05
90662 Influenza vaccine split virus, preservative free	133	129	$113.72	$71.13
83036 Hemoglobin A1C level	118	79	$67.83	$9.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	66	$437.00	$172.67
99239 Hospital discharge day management, more than 30 minutes	89	57	$241.00	$114.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	53	$364.20	$169.90
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$82.00	$13.86
G0009 Administration of pneumococcal vaccine	32	32	$47.63	$32.05
99238 Hospital discharge day management, 30 minutes or less	25	23	$168.00	$81.03
99496 Transitional care management services for problem of high complexity	22	17	$679.00	$263.88
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	19	19	$400.32	$281.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$168.00	$49.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$352.00	$160.77
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	16	13	$75.00	$30.29
99495 Transitional care management services for problem of at least moderate complexity	12	12	$482.00	$194.92
90670 Pneumococcal vaccine for injection into muscle	11	11	$344.09	$252.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	756	340	$235.00	$123.75
99213 Established patient office or other outpatient visit, typically 15 minutes	368	275	$161.00	$87.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	285	70	$241.00	$101.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$316.64	$125.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	200	59	$168.00	$70.14
G0008 Administration of influenza virus vaccine	144	143	$41.00	$30.67
90662 Influenza vaccine split virus, preservative free	135	134	$73.00	$67.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	67	$437.00	$196.70
99239 Hospital discharge day management, more than 30 minutes	84	63	$241.00	$104.10
G0009 Administration of pneumococcal vaccine	62	62	$41.00	$30.73
93000 Routine ekg using at least 12 leads including interpretation and report	44	42	$82.00	$13.80
90670 Pneumococcal vaccine for injection into muscle	26	26	$318.00	$242.28
99495 Transitional care management services for problem of at least moderate complexity	26	25	$482.00	$198.22
99220 Hospital observation care, typically 70 minutes	24	21	$400.00	$183.12
99238 Hospital discharge day management, 30 minutes or less	19	16	$167.00	$71.63
81003 Automated urinalysis test	18	14	$21.00	$2.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$162.33	$131.99
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$346.00	$278.84
36415 Insertion of needle into vein for collection of blood sample	15	14	$22.00	$2.98
99217 Hospital observation care on day of discharge	14	13	$166.00	$72.78
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	14	13	$70.00	$34.95
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$230.00	$124.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	782	321	$223.91	$126.19
99213 Established patient office or other outpatient visit, typically 15 minutes	270	189	$153.00	$88.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	233	84	$241.00	$104.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	200	200	$317.58	$127.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	176	58	$168.00	$70.79
G0008 Administration of influenza virus vaccine	155	153	$41.00	$17.98
90662 Influenza vaccine split virus, preservative free	152	150	$73.00	$64.75
99239 Hospital discharge day management, more than 30 minutes	103	86	$241.00	$105.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	76	$437.00	$200.40
G0009 Administration of pneumococcal vaccine	60	59	$41.00	$17.97
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	51	51	$159.00	$121.80
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$82.00	$14.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$107.00	$54.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$341.00	$165.13
99220 Hospital observation care, typically 70 minutes	31	27	$400.00	$168.42
96127 Assessment of emotional or behavioral problems	21	16	$18.00	$4.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$353.00	$164.05
99217 Hospital observation care on day of discharge	16	16	$166.00	$72.81
99495 Transitional care management services for problem of at least moderate complexity	16	15	$482.00	$199.80
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$219.00	$127.28
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$474.00	$163.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$300.00	$130.06
99238 Hospital discharge day management, 30 minutes or less	11	11	$167.00	$73.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$327.27	$147.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	747	308	$211.82	$105.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	416	110	$239.53	$106.51
G0008 Administration of influenza virus vaccine	151	143	$41.00	$17.61
99239 Hospital discharge day management, more than 30 minutes	150	114	$241.00	$108.04
99213 Established patient office or other outpatient visit, typically 15 minutes	138	101	$145.06	$72.91
90662 Influenza vaccine split virus, preservative free	131	124	$69.17	$59.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	99	$434.93	$205.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	41	$166.95	$72.18
99443 Telephone medical discussion with physician, 21-30 minutes	107	90	$146.00	$105.83
99442 Telephone medical discussion with physician, 11-20 minutes	57	47	$102.00	$70.68
99220 Hospital observation care, typically 70 minutes	51	37	$400.00	$182.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	50	$316.00	$112.66
G0009 Administration of pneumococcal vaccine	44	44	$41.00	$17.64
93000 Routine ekg using at least 12 leads including interpretation and report	39	34	$82.00	$16.55
99217 Hospital observation care on day of discharge	35	28	$166.00	$69.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$339.79	$162.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$155.21	$113.64
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	24	$36.84	$17.16
96127 Assessment of emotional or behavioral problems	25	21	$18.00	$4.73
90670 Pneumococcal vaccine for injection into muscle	18	18	$318.00	$222.44
99226 Subsequent observation care, typically 35 minutes per day	15	12	$225.00	$103.11
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$474.00	$166.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$224.17	$98.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,049	355	$203.12	$105.38
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	432	140	$231.00	$106.48
99213 Established patient office or other outpatient visit, typically 15 minutes	191	121	$136.00	$71.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	183	137	$420.00	$207.38
G0008 Administration of influenza virus vaccine	180	175	$41.00	$15.94
99239 Hospital discharge day management, more than 30 minutes	175	127	$241.00	$109.67
90662 Influenza vaccine split virus, preservative free	166	162	$67.06	$54.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	144	69	$158.00	$73.69
G0009 Administration of pneumococcal vaccine	72	72	$41.00	$16.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$150.19	$111.19
99220 Hospital observation care, typically 70 minutes	43	42	$341.00	$192.96
99217 Hospital observation care on day of discharge	41	39	$166.00	$75.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$331.00	$161.71
93000 Routine ekg using at least 12 leads including interpretation and report	37	35	$82.00	$16.48
90670 Pneumococcal vaccine for injection into muscle	29	29	$318.00	$209.29
99495 Transitional care management services for problem of at least moderate complexity	29	21	$482.00	$159.38
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$474.00	$167.55
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	13	$35.00	$18.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$316.00	$113.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$215.00	$105.98
81003 Automated urinalysis test	13	12	$21.00	$2.44
81002 Urinalysis, manual test	12	11	$23.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,174	379	$195.32	$104.06
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	540	143	$226.46	$105.65
99213 Established patient office or other outpatient visit, typically 15 minutes	234	154	$133.67	$70.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	186	147	$406.83	$204.78
99239 Hospital discharge day management, more than 30 minutes	173	138	$217.69	$108.91
G0008 Administration of influenza virus vaccine	172	167	$41.00	$21.45
90662 Influenza vaccine split virus, preservative free	160	156	$63.50	$52.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	69	$155.24	$73.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	49	$264.00	$91.59
99306 Initial nursing facility visit, typically 45 minutes per day	55	52	$336.00	$168.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	55	31	$191.00	$69.35
G0009 Administration of pneumococcal vaccine	54	54	$41.00	$21.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	49	$259.45	$141.55
93000 Routine ekg using at least 12 leads including interpretation and report	52	49	$78.77	$16.14
99220 Hospital observation care, typically 70 minutes	45	41	$325.40	$191.57
99217 Hospital observation care on day of discharge	36	35	$153.22	$75.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$317.36	$161.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$149.00	$105.59
81003 Automated urinalysis test	29	26	$21.00	$2.71
96127 Assessment of emotional or behavioral problems	28	18	$18.00	$5.97
85610 Blood test, clotting time	26	13	$30.15	$4.75
90670 Pneumococcal vaccine for injection into muscle	24	24	$318.00	$199.48
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	18	18	$269.00	$133.01
99495 Transitional care management services for problem of at least moderate complexity	15	15	$443.33	$158.43
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$35.00	$17.22
94010 Test to measure expiratory airflow and volume	13	12	$126.62	$33.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,188	364	$184.00	$103.11
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	335	137	$220.00	$105.81
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	264	101	$150.00	$72.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	178	148	$385.00	$205.49
99239 Hospital discharge day management, more than 30 minutes	170	133	$205.00	$108.28
G0008 Administration of influenza virus vaccine	167	164	$41.00	$26.42
99213 Established patient office or other outpatient visit, typically 15 minutes	150	108	$129.00	$70.07
90662 Influenza vaccine split virus, preservative free	146	144	$60.00	$47.88
96127 Assessment of emotional or behavioral problems	65	54	$18.00	$5.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	33	$264.00	$90.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$286.00	$154.17
G0009 Administration of pneumococcal vaccine	50	50	$41.00	$26.42
99220 Hospital observation care, typically 70 minutes	47	42	$315.00	$189.32
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	39	$269.00	$130.32
93000 Routine ekg using at least 12 leads including interpretation and report	43	41	$78.00	$16.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	42	42	$149.00	$93.73
85610 Blood test, clotting time	40	11	$30.00	$5.28
99217 Hospital observation care on day of discharge	37	33	$143.00	$74.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	21	$191.00	$68.47
36415 Insertion of needle into vein for collection of blood sample	29	28	$13.00	$2.80
81002 Urinalysis, manual test	24	17	$23.00	$3.43
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	21	$35.00	$18.65
82962 Blood glucose (sugar) test performed by hand-held instrument	19	17	$19.00	$3.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$247.00	$140.23
94010 Test to measure expiratory airflow and volume	16	16	$125.00	$33.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$185.00	$104.82
69209 Removal of impacted ear wax by washing	12	11	$115.00	$11.75
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$43.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2025-05-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036100728

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036100728 (IL)

Commercial Insurance / Payer ID Bcbs

05623656 (IL)

Commercial Insurance / Payer ID Commercial

0364380077 (IL)

Commercial Insurance / Payer ID Medicare Railroad

110217799 (IL)

Hospital & Practice Group Affiliations

Advocate Health And Hospitals Corporation

486 Randall Rd, South Elgin, IL 601773354

Phone: 2247835000

Advocate Health And Hospitals Corporation

4201 W Medical Ctr Dr, Mchenry, IL 600508409

Phone: 8153445000

Advocate Health And Hospitals Corporation

214 Mchenry Rd, Buffalo Grove, IL 600896748

Phone: 8474591160

Advocate Health And Hospitals Corporation

350 Surryse Rd, Lake Zurich, IL 600473217

Phone: 8474382144

Advocate Health And Hospitals Corporation

450 W Hwy 22, Barrington, IL 600101919

Phone: 8473810123

Advocate Health And Hospitals Corporation

525 E Congress Pkwy, Crystal Lake, IL 600146258

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Sana Fayyaz , MD

Family Medicine

NPI 1053870915

Doctor of Medicine (M.D.)

Dr. Marina Gladson , MD

Family Medicine

NPI 1588751366

Doctor of Medicine (M.D.)

Carly Manley

Nurse Practitioner - Family

NPI 1669244489

Portia Cochrane , FNP-BC

Nurse Practitioner - Family

NPI 1710497987

Family Nurse Practitioner (Board Certified)

Dr. Moriah Bang , DO

Family Medicine

NPI 1750393310

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Business Mailing Address May 28, 2025

Registered at 29373 NETWORK PL, CHICAGO, IL 606731293

📍

Updated Practice Location December 20, 2021

Registered at 525 E CONGRESS PKWY STE 350, CRYSTAL LAKE, IL 600146271 (Tel: 8154797490)

📍

Updated Business Mailing Address December 20, 2021

Registered at 525 E CONGRESS PKWY STE 350, CRYSTAL LAKE, IL 600146271 (Tel: 8154797490)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2021

Internal Medicine (License #036100728 in IL)

✅

NPI Profile Active November 12, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2009

Registered at 284 MEMORIAL CT, STE B, CRYSTAL LAKE, IL 600146231 (Tel: 8154598240)

📍

Updated Business Mailing Address November 12, 2009

Registered at 284 MEMORIAL CT, STE B, CRYSTAL LAKE, IL 600146231 (Tel: 8154598240)

👤

Provider Name / Credentials Updated November 12, 2009

Recorded as SANJEEV GUPTA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2009

Internal Medicine (License #0364380077 in IL)

🟢

Initial NPI Registration & Enumeration September 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659471175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 24, 2006

Last Update: May 28, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

29373 Network Pl

Chicago, IL 606731293

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.