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

Sanjeeb Khatua, MD

Individual provider Family Medicine Physician · NPI 1770777658

Sanjeeb Khatua, MD is a Family Practice in Plainfield, Illinois. Qualified in 2005, 21 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
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

16519 S Rte 59
Plainfield, IL 60586-2606
Phone: (630) 646-5020
Fax: (630) 646-5025
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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 036123917 (IL)

Record details

NPI number1770777658
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 4, 2007
Last updated in NPPESJune 5, 2013
Mailing address16519 S Rte 59, Plainfield, IL 60586-2606

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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