ILLINOIS PATHOLOGY ASSOCIATES, LTD.
NPI 1043501554
Pathology - Clinical Pathology/Laboratory Medicine in Berwyn, IL

Q: What is Illinois Pathology Associates, Ltd.'s NPI number?

The NPI number for Illinois Pathology Associates, Ltd. is 1043501554. It was assigned to this organization in the NPPES registry on May 2, 2011.

Q: What is Illinois Pathology Associates, Ltd.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Active since May 02, 2011

3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-9100 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Illinois Pathology Associates, Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINOIS PATHOLOGY ASSOCIATES, LTD. (NPI 1043501554) is a healthcare organization registered as a clinical pathology/laboratory medicine in Berwyn, Illinois and active in the NPI registry since May 2011. The organization lists Randall K Mcgivney, President, as its authorized official.

NPPES Registry Identity

NPI1043501554

Entity TypeOrganization

Primary Taxonomy207ZP0105X

Legal Business NameILLINOIS PATHOLOGY ASSOCIATES, LTD.

Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429

Mailing Address2000 Spring Rd, Suite 200Oak Brook, IL 60523-1804 · (630) 472-8800 · Fax (630) 472-9502

Phone(708) 783-9100

Organization SubpartNo

Authorized OfficialRandall K McgivneyPresident · (630) 472-8800

Enumeration DateMay 2, 2011

Last NPPES UpdateJuly 12, 2011

✔ NPI 1043501554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0105X

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

3249 OAK PARK AVE, Berwyn, IL 60402

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Pathology Associates, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Illinois Pathology Associates, Ltd., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Xiaoying Qiao, MD

Pathology

NPI 1912936584

3249 OAK PARK AVE
Berwyn, IL 60402

(708) 783-0192

✔ PECOS✔ Accepts MedicareSame address

Amer Abboud, MD

Pathology

NPI 1154348696

3231 EUCLID AVE 7087953975
Berwyn, IL 60402

(708) 795-3975

✔ PECOS✔ Accepts MedicareSame address

Randall Mcgivney, DO

Pathology

NPI 1710917836

3 ERIE CT
Oak Park, IL 60302

(708) 763-6667

✔ PECOS✔ Accepts Medicare4.1 mi

Aisha Jaleel, MD

Family Practice

NPI 1619968203

3240 W FRANKLIN BLVD
Chicago, IL 60624

(773) 854-7500

✔ PECOS✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illinois Pathology Associates, Ltd.'s NPI number?

The NPI number for Illinois Pathology Associates, Ltd. is 1043501554. It was assigned to this organization in the NPPES registry on May 2, 2011.

Where is Illinois Pathology Associates, Ltd. located?

Illinois Pathology Associates, Ltd. is located at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-9100.

What is Illinois Pathology Associates, Ltd.'s specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Illinois Pathology Associates, Ltd. enrolled in Medicare?

Yes. Illinois Pathology Associates, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Pathology Associates, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Illinois Pathology Associates, Ltd.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pathology (3) and Family Practice (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Pathology Associates, Ltd. was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.