JAGAN KANSAL (NPI# 1942611694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942611694 |
| Entity Type | Individual |
| Full Name | JAGAN KANSAL |
| Credential | M.D |
| Practice Address |
2359 Hassell Rd Hoffman Estates IL 60169-2102 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-3522 |
| Practice Telephone | 8478437030 |
| Mailing Telephone | 6304692000 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 036-153180 | IL | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 70572 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1942611694 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Pleasant Valley Rd, West Bend, WI 530959274 | 2628367300 | 2628367301 |
| 9200 W Wisconsin Ave, Milwaukee, WI 532263522 | 4149550854 | 4149550122 |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 | 2622575100 | 2625185052 |
| Street Address |
2359 HASSELL RD |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60169-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881680387 | Peter Palermo | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2005-09-21 |
| 1427514819 | Haley Sheehey | Physician Assistant | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2019-02-11 |
| 1285160622 | Sara Partida | Nurse Practitioner | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2017-05-04 |
| 1164878781 | Jairus James Lukose | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2016-05-12 |
| 1912347568 | Katarzyna Anna Strycharz | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2013-06-27 |
| 1053688275 | Angeline Heaver | Nurse Practitioner | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2011-11-17 |
| 1750677621 | Sheena Patel Cooke | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2011-06-20 |
| 1528358660 | Obrad Kokanovic | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2011-04-11 |
| 1760788376 | Robina Maryam Iqbal | Internal Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2011-01-28 |
| 1255568853 | Shahab Mohiuddin | Family Medicine | 2359 Hassell Rd, Hoffman Estates, IL 60169-2102 | 2009-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
| 1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
| 1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
| 1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
| 1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
| 1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
| 1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
| 1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
| 1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
| 1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
| Find all providers in zip 60169 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619168481 | S K Talluri Mdsc | Urology | 2200 W Higgins Rd Ste 245, Hoffman Estates, IL 60169-2426 | 2007-08-07 |
| 1649500828 | Uropartners, LLC | Urology | 1555 Barrington Rd, Suite 2500, Hoffman Estates, IL 60169-1019 | 2010-01-11 |
| 1801849807 | Srikrishna M Talluri | Urology | 2200 W Higgins Rd, Suite 245, Hoffman Estates, IL 60195-2428 | 2006-05-19 |
| 1881694115 | Samuel L Flaster | Urology | 1555 Barrington Rd, Suite 2300b, Hoffman Estates, IL 60169-1019 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699236612 | Behdod Katebian | Urology | 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 | 2019-03-31 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1134657026 | Soojin Kim | Urology | 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2017-05-23 |
| 1619337912 | George Robert Buckun | Urology | 930 Rogers St., #301, Downers Grove, IL 60515 | 2016-02-29 |
| 1275991606 | Nicole Alyssa Hamilton | Urology | 22285 N Pepper Rd Ste 201, Lake Barrington, IL 60010-2540 | 2016-01-30 |
| 1790164002 | Shay Golan | Urology | 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 | 2015-05-20 |
| 1528453594 | Christopher Stockdale | Urology | 300 W Hill St Apt 707, Chicago, IL 60610-7537 | 2015-04-06 |
| 1639568447 | Jeremy Lai | Urology | 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 | 2015-01-16 |
| 1386053759 | Ramiro Felix Prudencio | Urology | 1200 Broadmeadow Rd, Winnetka, IL 60093-3707 | 2014-08-10 |
| 1174933048 | Kyle John Ericson | Urology | 924 E 57th St, Suite 104, Chicago, IL 60637-1455 | 2014-05-01 |
| Find all providers with the same taxonomy | ||||
| City | HOFFMAN ESTATES |
| Zip Code | 60169 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.