David Lee Nordahl, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036.042017 Issued in IL

Practice address

22 Bradford LN
Oak Brook, IL 60523-2322

Phone

(630) 990-1421

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Village Radiology LTD

  • Diagnostic Radiology Physician
  • Oak Park, IL
  • NPI 1346337565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1003164997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRADFORD LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232322",
            "telephone_number": "630-990-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRADFORD LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232322",
            "telephone_number": "630-990-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDAHL",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.042017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Hoang Nguyen, ATC
• Cindy Nguyen, DC
• Thanh Nguyen, OT
• Emma Nielsen, LAT, ATC
• Obiora Nnam
• Nordstrom Inc & Subsidiaries
• North Star Counseling Inc.
• Northern Illinois Foot & Ankle Specialists, LTD
• Northland Hearing Centers, Inc. (The Hearing Lab)
• Northwest Houston Medical Center

• Diagnostic Radiology Physician in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.