Seanra J Kalil, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085001962 Issued in IL

Practice address

150 E. Cook Ave.
Suite 100
Libertyville, IL 60048-2060

Phone

(847) 816-6441

Fax

(847) 816-6355

NPI assigned

Nov 10, 2008

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

Medicare fee-for-service enrollment

Enrolled in IL, WI, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Libertyville, IL
  • NPI 1629478599

  Physician Assistant, WI

  Medicare reassignment NPD
• Northwestern Medical Faculty Foundation

  • Multi-Specialty Clinic/Center
  • Carol Stream, IL
  • NPI 1346235314
  Medicare reassignment NPD
• Wellness Pattern Studio PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Des Moines, IA
  • NPI 1760325906
  NPD Authorized official
• Midwest Sports Medicine & Orthopaedic Surgical Specialists, LTD.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Elk Grove Village, IL
  • NPI 1144220724
  Medicare reassignment
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1134979644
  Medicare reassignment
• Northwestern Medical Faculty Foundation

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1417718479
  NPD
• Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Kenosha, WI
  • NPI 1619731320

  Physician Assistant

  NPD
• Bassi Mental Health PA

  • Psychiatry Physician
  • St Johns, FL
  • NPI 1013425586
  NPD (past)

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1669626149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E. COOK AVE.",
            "address_2": "SUITE 100",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482060",
            "telephone_number": "847-816-6441",
            "fax_number": "847-816-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E. COOK AVE.",
            "address_2": "SUITE 100",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600482060",
            "telephone_number": "847-816-6441",
            "fax_number": "847-816-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALIL",
        "first_name": "SEANRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085001962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Muni, M.D.
• JP Lehman, DDS., PC
• Timothy E. Kabot, D.D.S.
• Jacob Richard Kachelmeier, PHARMD
• Amberika Kahlon
• Dheeraj Davis Kalluri
• Kimberly Kamman, PT, DPT
• Patricia Ann Kampmeier, M.D.
• Meriam Kanikunnel, PA-C
• Karen J Counseling, LLC

• Physician Assistant in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.