Yasmeen A Kagalwalla, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

036-094277 Issued in IL

Practice address

1200 Maple Rd
Silver Cross Hospital
Joliet, IL 60432

Phone

(815) 740-1100

Fax

(815) 740-7901

NPI assigned

Apr 25, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Pathology Services, S.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • New Lenox, IL
  • NPI 1902144926
  NPD
• Pathology & Laboratory Consultants SC

  • Anatomic Pathology & Clinical Pathology Physician
  • Joliet, IL
  • NPI 1427011071
  NPD
• Silver Cross Hospital & Medical Centers

  dba Silver Cross Hospital

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1093771438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60686",
            "telephone_number": "815-740-7073",
            "fax_number": "815-740-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAPLE RD",
            "address_2": "SILVER CROSS HOSPITAL",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60432",
            "telephone_number": "815-740-1100",
            "fax_number": "815-740-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGALWALLA",
        "first_name": "YASMEEN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036-094277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360942771",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC",
            "identifier": "220026450",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Jungels, LCPC
• K a Boateng MD Facog PC
• Nour Kabbani, M.D.
• Sarah A. Kaczmarski, COTA
• Cynthia M. Kadela, D.C.
• Jacqueline Kagan
• Setareh Kaikavousi
• Raquel Lynn Kairis, RD, LDN
• Emily Kaiser, SLP
• Kathleen Anne Kaiser, LCSW

• Anatomic Pathology & Clinical Pathology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.