Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sagun Gautam, MD

Individual provider Family Medicine Physician · NPI 1205049046

Sagun Gautam, MD is a Family Practice in Willowbrook, Illinois. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

534 Plainfield Rd
Willowbrook, IL 60527-5342
Phone: (087) 835-5507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036-120619 (IL)

Record details

NPI number1205049046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESOctober 7, 2025
Certification dateOctober 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE, HOSPICE/PALLIATIVE CARE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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