MEDICARE: SUEANN NAGPAL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician		IL
2	208D00000X	General Practice Physician		IL

General Provider Information

NPI Number	:	1770660938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUEANN NAGPAL M.D.

Provider Business Mailing Address
First Line	:	1900 BLACK RD
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-3463
Country	:	US
Telephone Number	:	815-744-7300
Fax Number	:	815-744-1928

Provider Business Practice Location Address
First Line	:	211 N HAMMES AVE
Second Line	:
City	:	JOLIET
State	:	IL
Zip	:	60435-8113
Country	:	US
Telephone Number	:	815-744-7300
Fax Number	:	815-744-1928

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	09/11/2025

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