Active NPIIndividual provider

Vasanth Kattalai Kailasam, MD

Psychiatry & Neurology, Pain Medicine in Crystal Lake, Illinois

NPI Number1275882730
Practice location
875 South Route 31, Crystal Lake, IL 60014
Fax
—
Last updated
May 12, 2026

Vasanth Kattalai Kailasam is a Psychiatry & Neurology, Pain Medicine based in Crystal Lake, IL. Vasanth Kattalai Kailasam practices in Crystal Lake, IL and has the professional credentials of MD. The NPI Number for Vasanth Kattalai Kailasam is 1275882730 and holds a License No. MD21916 (ME). The current practice location address for Vasanth Kattalai Kailasam is 875 South Route 31, Crystal Lake, IL 60014 and can be reached out via phone at 779-220-5500.

Provider Profile Details

NPI Number
1275882730
Provider Name
Vasanth Kattalai Kailasam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
875 South Route 31, Crystal Lake, IL 60014
Phone Number
779-220-5500
Primary Taxonomy
Psychiatry & Neurology, Pain Medicine · 2084P2900X
Sole Proprietor
No
Provider Enumeration Date
August 30, 2012
Last Update Date
May 12, 2026
Certification Date
May 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
875 South Route 31
Crystal Lake, IL 60014
Zip
60014
Phone Number
779-220-5500
Crystal Lake, IL 60014Get directions →

Provider Business Mailing Address Details

Address
43 Whiting Hill RD Ste 300
Brewer, ME 04412-1006
City
Brewer
State
ME
Zip
04412-1006

License Information

License Number (1)
MD21916
License State (1)
ME
Taxonomy (1)
Psychiatry & Neurology, Pain Medicine · 2084P2900X
License Number (2)
13586-320
License State (2)
WI
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (3)
036.164032
License State (3)
IL
Taxonomy (3)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (4)
13586-320
License State (4)
WI
License Number (5)
60723587
License State (5)
WA
Taxonomy (5)
Psychiatry & Neurology, Pain Medicine · 2084P2900X
License Number (6)
036.164032
License State (6)
IL
Taxonomy (6)
Psychiatry & Neurology, Pain Medicine · 2084P2900X · Primary
License Number (7)
036.164032
License State (7)
IL
License Number (8)
13586-320
License State (8)
WI
Taxonomy (8)
Psychiatry & Neurology, Pain Medicine · 2084P2900X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Vasanth Kattalai Kailasam, MD?

The NPI number of Vasanth Kattalai Kailasam, MD is 1275882730. It was assigned on August 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Vasanth Kattalai Kailasam, MD?

Vasanth Kattalai Kailasam, MD is registered under the primary taxonomy Psychiatry & Neurology, Pain Medicine (code 2084P2900X), licensed in ME under license number MD21916.

Where does Vasanth Kattalai Kailasam, MD practice?

The practice location is 875 South Route 31, Crystal Lake, IL 60014. The office can be reached at 779-220-5500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275882730 directly on the NPPES registry website.

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