DR. GAGAN GAUTAM MD, MCH
NPI 1376846907
Urology in Chicago, IL

Active since December 21, 2010
5841 S MARYLAND AVE, J 664, CHICAGO, IL 60637(773) 575-4165 Get Directions Write a Review

NPPES record last updated: December 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gagan Gautam Md, Mch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GAGAN GAUTAM MD, MCH (NPI 1376846907) is an individual urology provider in Chicago, Illinois, licensed in Illinois (125.055629) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1376846907
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. GAGAN GAUTAMCredential: MD, MCH
Location Address5841 S MARYLAND AVE, J 664Chicago, IL 60637-1447
Mailing Address6033 N Sheridan Rd, Apt 14 DChicago, IL 60660-3003 · (773) 575-4165
Sole ProprietorNo
Enumeration DateDecember 21, 2010
NPI 1376846907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in IL · 125.055629
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5841 S MARYLAND AVE, Chicago, IL 60637

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gagan Gautam's NPI number?

The NPI number for Gagan Gautam is 1376846907. It was assigned to this individual provider in the NPPES registry on December 21, 2010.

Where is Gagan Gautam located?

Gagan Gautam practices at 5841 S Maryland Ave J 664, Chicago, IL 60637. The listed phone number is (773) 575-4165.

What is Gagan Gautam's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Gagan Gautam was last updated on December 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.