Illinois Diagnostic and Interventional Radiology PLLC
Organization Active NPI Diagnostic Radiology Physician · Chicago, IL
NPI 1114723608 · NPPES record last updated Oct 17, 2025
Key facts
- NPI
- 1114723608
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- ILLINOIS DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY PLLC
- Practice address
- 7435 W Talcott Ave
Chicago, IL 60631-3707 - Phone
- (773) 774-8000
- NPI assigned
- Feb 24, 2025
- Organization subpart
- No
Authorized official
- Name
- John Kim, MD
- Title
- Authorized Official
- Phone
- (512) 653-5622
Practitioners 186
-
Talal Akhter, M.D.
-
Tami C Carrillo, MD
-
John Ciemins, M.D.
-
David Curry, M.D.
-
Supriya Gupta, MD
-
Przemyslaw Ignaciuk, M.D.
-
Rajesh Kumar Kakarla, M.D.
-
Sheila M Major, M.D.
-
Alan Howard Matson, M. D.
-
Karan Nijhawan, MD
-
Michael J Racenstein, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (26 enrollments) in DC, MA, IL, MI, NJ, WA, KY, TX, CA, OR, CO, FL, MO, TN, OK, HI, NV, AL, NE, WI, NY, AZ, GA, NH, WV, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250826001122 | DC | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: MC Lean, VA |
| O20250908001144 | MA | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Dedham, MA |
| O20250908001664 | IL | Part B Supplier - Clinic/Group Practice | 5092215889 | Receives reassigned benefits from 77 practitioners |
| O20250910002374 | MI | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Birmingham, MI |
| O20250911000296 | NJ | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: Jersey City, NJ; Lawrence Township, NJ |
| O20250911001894 | WA | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Washougal, WA; Woodinville, WA; Camas, WA |
| O20250917000463 | KY | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: London, KY; Louisville, KY |
| O20250919001322 | TX | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 39 practitioners Practice locations: Plano, TX; Houston, TX; Lewisville, TX; McKinney, TX; Frisco, TX; New Braunfels, TX; Prosper, TX; Roanoke, TX… |
| O20250922001427 | CA | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 21 practitioners Practice locations: Thousand Oaks, CA; Temecula, CA; Santa Monica, CA; Redondo Beach, CA; Pacific Palisades, CA; Ontario, CA; Newport Beach, CA; Los Angeles, CA… |
| O20250926004373 | OR | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: Oregon City, OR; Portland, OR |
| O20250929000816 | CO | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Colorado Springs, CO; Denver, CO; Fort Collins, CO |
| O20251009000189 | FL | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 5 practitioners Practice locations: Doral, FL; Naples, FL; Newberry, FL; Parkland, FL; Sarasota, FL |
| O20251018000247 | MO | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: Columbia, MO; Kansas City, MO |
| O20251020001082 | TN | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Signal Mountain, TN |
| O20251020001789 | OK | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Oklahoma City, OK |
| O20251021003335 | HI | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: Honolulu, HI; Kailua, HI |
| O20251022000504 | NV | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Las Vegas, NV; Henderson, NV |
| O20251024002329 | AL | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: Birmingham, AL; Vestavia, AL |
| O20251105000907 | NE | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Grand Island, NE; Kearney, NE |
| O20251121000531 | WI | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 4 practitioners Practice locations: Madison, WI; Neenah, WI; Wauwatosa, WI |
| O20251121001456 | NY | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 2 practitioners Practice locations: New Hyde Park, NY; New York, NY |
| O20251208000990 | AZ | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Phoenix, AZ |
| O20260212002440 | GA | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 3 practitioners Practice locations: Alpharetta, GA; Atlanta, GA; Newnan, GA |
| O20260224000185 | NH | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Lebanon, NH |
| O20260224002881 | WV | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Morgantown, WV |
| O20260615003236 | VA | Part B Supplier - Clinic/Group Practice | 5092215889 |
Receives reassigned benefits from 1 practitioner Practice locations: Virginia Beach, VA |
National Provider Directory
Locations
1200 Harger Rd
Ste 408
Oak Brook, IL 60523
Phone (630) 581-6511
620 S 7th St
Las Vegas, NV 89101
3948 Legacy Dr
Ste 106381
Plano, TX 75023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
7435 W Talcott Ave
Chicago, IL 60631-3707
Mailing address
3948 Legacy Dr Ste 106-381
Plano, TX 75023-8300
Phone (847) 637-8711
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All providers in Chicago, IL · Diagnostic Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.