Active NPI
Jack Lyons, MD
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-090642
- Practice address
- 2900 N Lake Shore Dr
Chicago, IL 60657 - Phone
- (773) 665-3240
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-090642 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Chicago, IL 60657
Mailing address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3240
Other practice location 1
3101 N Harlem Ave
Chicago, IL 60634-4543
Phone (773) 836-9360
Other practice location 2
205 S Northwest Hwy Ste 110
Park Ridge, IL 60068-5802
Phone (773) 990-7684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (219) 767-6320
100 Medical Dr
Hannibal, MO 63401-6877
Phone (217) 223-8400
1005 Broadway St
Quincy, IL 62301-2834
Phone (309) 671-8282
4424 N Paulina St
Chicago, IL 60640-5306
Phone (219) 767-6320
4800 Maine St
Quincy, IL 62305-5875
Phone (217) 224-6423
600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-090642 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Partners of Iowa Inc | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Blessing Hospital | Current | Accepting new patients | |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Thorek Hospital and Medical Center Outpatient Pharmacy | Current | Accepting new patients | |
| Thorek Memorial Hospital | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Franciscan Physician Network | Past | Accepting new patients | |
| Chicago Imaging Associates, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 29)
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
2741 Paysphere Cir
Chicago, IL 60674
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
3101 N Harlem Ave
Chicago, IL 60634
Phone (773) 836-9360
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
408 N 2nd St
Marshall, IL 62441
Phone (217) 826-2361
205 S Northwest Hwy
Ste 110
Park Ridge, IL 60068
Phone (773) 990-7684
205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
1005 Broadway St
Quincy, IL 62301
4800 Maine St
Quincy, IL 62305
Phone (217) 214-0444
801 S Main St
Clinton, IN 47842
Phone (765) 832-1212
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
701 Superior Ave
Munster, IN 46321
Phone (219) 922-4200
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
5500 S US Highway 41
Terre Haute, IN 47802
Phone (812) 238-4599
1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115
221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
Interoperability endpoints
- https://fhir.blessinghospital.com/R4/open-Prod
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
IL
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1619178720
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982643961
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
-
dba Blessing Health Monroe City
- Rural Health Clinic/Center
- Monroe City, MO
- NPI 1013683507
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1922058619
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Quincy, IL
- NPI 1760571699
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Franciscan St. Elizabeth Health
- General Acute Care Hospital
- Lafayette, IN
- NPI 1356435341
-
- General Acute Care Hospital
- Munster, IN
- NPI 1427493246
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1821859752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1104877851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-665-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-665-3240"
}
],
"practiceLocations": [
{
"address_1": "3101 N Harlem Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606344543",
"country_code": "US",
"telephone_number": "773-836-9360",
"fax_number": "773-914-2469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 S Northwest Hwy Ste 110",
"address_purpose": "LOCATION",
"city": "Park Ridge",
"state": "IL",
"postal_code": "600685802",
"country_code": "US",
"telephone_number": "773-990-7684",
"fax_number": "773-792-5124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LYONS",
"first_name": "JACK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-090642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.