Pankaj Jalan, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

125-055451 Issued in IL

Practice address

751 N Rutledge St
Springfield, IL 62702-4909

Phone

(217) 545-8417

Fax

(217) 545-4282

NPI assigned

Aug 26, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1336396969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19656",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949656",
            "telephone_number": "217-545-8853",
            "fax_number": "217-545-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 N RUTLEDGE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024909",
            "telephone_number": "217-545-8417",
            "fax_number": "217-545-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAN",
        "first_name": "PANKAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125-055451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rohan Jain
• Sumesh Jain, M.D.
• Tara M Jain, PA
• Michael G. Jakoby Sr., M.D.
• William Jakoby
• James E Farrow DMD, SC (Farrow Dental Group)
• James P. Walsh O.D., LLC
• Quinte James
• Jami Lynn Jamieson, L.C.S.W.
• William Kent Janes, CRNA

• Neurology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.