Individual provider Active NPI

Sherazad Islam, MD

  • Pediatric Radiology Physician
  • Glenview, IL
National Provider Identifier
1063774735
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
036145143 Issued in IL
Practice address
1649 Independence Ave
Glenview, IL 60026-7722
Phone
(202) 276-3448
NPI assigned
Jun 8, 2012
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 036145143 IL Primary
Pediatric Radiology Physician 2085P0229X 270133 MA
Diagnostic Radiology Physician 2085R0202X 036145143 IL
General Practice Physician 208D00000X 30030 OK

Addresses

Primary practice location

1649 Independence Ave
Glenview, IL 60026-7722

Mailing address

1649 Independence Ave
Glenview, IL 60026-7722
Phone (202) 276-3448

Other practice location 1

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 535-6300

Other practice location 2

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address sislam251935@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180820000901 IL Practitioner - Diagnostic Radiology 1355632571 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600

1770 Luther LN
Park Ridge, IL 60068-1270
Phone (847) 723-5050

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-2800

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

5540 Touhy Ave
Skokie, IL 60077-3234
Phone (847) 349-4960

77 Rand Rd
Des Plaines, IL 60016-1005
Phone (847) 298-0310

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270133MAMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Feb 1, 2026 Accepting new patients
Northwestern Medical Faculty Foundation Pediatric Radiology CurrentSince Mar 1, 2026 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 1, 2026 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 3, 2026 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Jul 16, 2018 Accepting new patients
Advanced Radiology Consultants SC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 3, 2026 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Interoperability endpoints

  • Direct secure messaging: sislam251935@direct.myadvocateaurora.org

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1063774735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 INDEPENDENCE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267722",
            "telephone_number": "202-276-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 INDEPENDENCE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600267722",
            "telephone_number": "202-276-3448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451658",
            "country_code": "US",
            "telephone_number": "847-535-6300",
            "fax_number": "847-535-7836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-2210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISLAM",
        "first_name": "SHERAZAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036145143",
            "primary": true
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "MA",
            "license": "270133",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036145143",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "30030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sislam251935@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2159 Coral Ln",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600267001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2159 Coral Ln",
            "city": "Glenview",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600267001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.