Basic Information
| Provider Information | |||||||||
| NPI: | 1740418227 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAPIL | ||||||||
| FirstName: | NEHA | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 W VETERANS PKWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | YORKVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605604728 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6302364270 | ||||||||
| FaxNumber: | 6302364271 | ||||||||
| Practice Location | |||||||||
| Address1: | 1100 VETERANS PARKWAY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | YORKVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60560 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6302364270 | ||||||||
| FaxNumber: | 6302364271 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2009 | ||||||||
| LastUpdateDate: | 05/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0000X | 036-128428 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | Adolescent Medicine | 207QA0505X | 036-128428 | IL | N | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine | 207Q00000X | 036-128428 | IL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 036-128428 | 05 | IL | MEDICAID |