Individual provider Active NPI

Nasreen Mohammadi Jalil, M.D.

  • Hospitalist Physician
  • McHenry, IL
National Provider Identifier
1891986048
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036117443 Issued in IL
Practice address
4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone
(815) 338-6600
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-117443 IL
Hospitalist Physician 208M00000X 52815 WI
Hospitalist Physician 208M00000X 036.117443 IL
Hospitalist Physician 208M00000X 036117443 IL Primary

Addresses

Primary practice location

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436

Mailing address

4309 W Medical Center Dr Ste A102
McHenry, IL 60050-8436
Phone (815) 338-6600

Other practice location 1

1331 W 75th St
Suite 100
Naperville, IL 60540-9310
Phone (630) 682-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071107000190 IL Practitioner - Internal Medicine 6800983818
I20090514000376 WI Practitioner - Internal Medicine 6800983818 Reassigns benefits to 1 organization
I20250311001859 CA Practitioner - HospitalistPractitioner - Internal Medicine 6800983818 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-117443ILMDInternal Medicine Physician
036.117443ILMDHospitalist Physician
036117443ILMDHospitalist Physician
52815WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Health Services, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Palomar Hospitalist Medical Group, Inc Hospitalist CurrentSince Jan 1, 2025 Accepting new patients
St. Joseph's Health Services, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Illinois Back and Joint PLLC CurrentSince Jan 19, 2023 Accepting new patients
Northwest Hospitalist Physicians LLP Hospitalist CurrentSince Feb 1, 2017 Accepting new patients
Northwest Hospitalist Physicians, LLP Current Accepting new patients
St. Joseph's Health Services, Inc. Current Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

640 E Saint Charles Rd
Ste 206
Carol Stream, IL 60188
Phone (630) 480-7155

1007 Lincolnway
Laporte, IN 46350
Phone (219) 325-5474

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

Interoperability endpoints

  • Direct secure messaging: njalil305443@direct.gundersenhealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891986048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "815-338-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 W MEDICAL CENTER DR STE A102",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508436",
            "telephone_number": "815-338-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1331 W 75th St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605409310",
            "country_code": "US",
            "telephone_number": "630-682-9700",
            "fax_number": "630-682-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALIL",
        "first_name": "NASREEN",
        "middle_name": "MOHAMMADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-117443",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "52815",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.117443",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036117443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.