NPIMap

Individual provider Active NPI

Howard Chrisman, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1053373720
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036092681 Issued in IL
Practice address
251 E Huron St
Feinberg 4-741G
Chicago, IL 60611-2908
Phone
(312) 926-4415
Fax
(312) 926-7382
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036092681 IL Primary

Addresses

Primary practice location

251 E Huron St
Feinberg 4-741G
Chicago, IL 60611-2908

Mailing address

680 N Lake Shore Dr
Suite 1000
Chicago, IL 60611-4546
Phone (312) 926-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090528000241 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496767527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwestern Medicine Delnor Community HospitalGeneva, IL, CCN 140211 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine Kishwaukee HospitalDekalb, IL, CCN 140286 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine Valley West HospitalSandwich, IL, CCN 141340 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine McHenry HospitalMcHenry, IL, CCN 140116 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine McHenry HospitalWoodstock, IL, CCN 14T116 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine Central Dupage HospitalWinfield, IL, CCN 140242 Hospital Corporate Director Jan 1, 2023
Palos Community HospitalPalos Heights, IL, CCN 140062 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine Lake Forest HospitalLake Forest, IL, CCN 140130 Hospital Corporate Director Jan 1, 2023
Northwestern Medicine Valley West HospitalSandwich, IL, CCN 14Z340 Hospital Corporate Director Jan 1, 2023
Palos Community Hospital Home Health AgencyLemont, IL, CCN 147470 Home health agency Corporate Director Jan 1, 2023
Palos Community Hospital HospiceLemont, IL, CCN 141591 Hospice Corporate Director Jan 1, 2023

Owned or controlled facilities with NPI records 13

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 13

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1053373720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "SUITE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-926-4415",
            "fax_number": "312-926-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "address_2": "FEINBERG 4-741G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-4415",
            "fax_number": "312-926-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISMAN",
        "first_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036092681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.