Active NPI
Elmhurst Radiologists, SC
- Diagnostic Radiology Physician
- Elmhurst, IL
National Provider Identifier
1023021524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ELMHURST RADIOLOGISTS, SC
- Practice address
- 200 N Berteau Ave
Elmhurst, IL 60126-2966 - Phone
- (630) 833-1400
- NPI assigned
- Aug 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerold Weinberg, MD
- Title
- President
- Phone
- (630) 833-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
200 N Berteau Ave
Elmhurst, IL 60126-2966
Mailing address
200 N Berteau Ave
Elmhurst, IL 60126-2966
Phone (630) 833-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM3874 | Other | IL | PALMETTO GBA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
Practitioners & affiliated clinicians
Practitioners 29
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1598127458
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- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1184609224
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- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1255537858
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- Diagnostic Radiology Physician
- Maywood, IL
- NPI 1457514697
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1588786735
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1487675088
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1093141624
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1346552544
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- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1053632786
-
- Diagnostic Radiology Physician
- Elmhurst, IL
- NPI 1457372054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194912000000",
"number": "1023021524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BERTEAU AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262966",
"telephone_number": "630-833-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BERTEAU AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262966",
"telephone_number": "630-833-1400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELMHURST RADIOLOGISTS, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2007-11-13",
"status": "A",
"authorized_official_last_name": "WEINBERG",
"authorized_official_first_name": "JEROLD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-833-1400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "CM3874",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmhurst, IL
- Elmhurst Outpatient Surgery Center LLC
- Elmhurst Physician Hospital Organization LLC
- Elmhurst Podiatry Center LTD
- Elmhurst Public SCH Dist 205
- Elmhurst Radiation Oncology Services, PC
- Elmhurst Rehabilitation Services, P.C.
- Elmhust Emergency Medical Services, LTD
- Emily C Bartell DDS LTD
- Emk Healthcare LTD
- Kevin Emmerich, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.