Illinois Diagnostic and Interventional Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 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

Last updated

Oct 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Kim, MDNPI 1376527382

Title

Authorized Official

Phone

(512) 653-5622

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled 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, VA26 enrollments

Enrollment records 26

Practitioners 187

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Young Kim, MD

  • Pediatric Radiology Physician
  • Seattle, WA
  • NPI 1376527382

  Diagnostic Radiology, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Osmanuddin Syed Ahmed, MD

  • Vascular & Interventional Radiology Physician
  • Libertyville, IL
  • NPI 1790917557

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Talal Akhter, M.D.

  • Vascular & Interventional Radiology Physician
  • Chicago, IL
  • NPI 1356760995

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michael G Arthofer, MD

  • Diagnostic Radiology Physician
  • Joliet, IL
  • NPI 1639107428
  Medicare reassignment Care Compare group NPD
• Mira Adly Mahmoud Ayoub

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1346866670
  Medicare reassignment Care Compare group NPD
• Tami C Carrillo, MD

  • Vascular & Interventional Radiology Physician
  • Zion, IL
  • NPI 1013171453
  Medicare reassignment Care Compare group NPD
• Suraj Chandrasekar, MD

  • Diagnostic Radiology Physician
  • Elmhurst, IL
  • NPI 1720321367
  Medicare reassignment Care Compare group NPD
• John Ciemins, M.D.

  • Neuroradiology Physician
  • Chicago, IL
  • NPI 1316965569

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• David Curry, M.D.

  • Vascular & Interventional Radiology Physician
  • Park Ridge, IL
  • NPI 1952329096

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Jonathan Fergus

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1861924805
  Medicare reassignment Care Compare group NPD
• Keith Rajiv Ganesh

  • Diagnostic Radiology Physician
  • Maywood, IL
  • NPI 1982867438
  Medicare reassignment Care Compare group NPD
• Matthew John Gayed, MD

  • Diagnostic Radiology Physician
  • Evanston, IL
  • NPI 1114456902
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1114723608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 LEGACY DR STE 106-381",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750238300",
            "telephone_number": "847-637-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7435 W TALCOTT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313707",
            "telephone_number": "773-774-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "512-653-5622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illinois College of Optometry
• Illinois Coordinated Care Partnership, LLC (Iccp)
• Illinois Dental Providers (Chicago Loop), LTD (DentalWorks of Chicago Loop)
• Illinois Department of Human Services (Chicago Read Mental Health Center Pharmacy)
• Illinois Department of Human Services (Chicago-Read Mental Health Center)
• Illinois Digestive and Liver Disease Specialists LTD
• Illinois Doctors on Demand
• Illinois Foot and Ankle Specialists, P.C.
• Illinois Gastroenterology and Hepatology
• Illinois Health Partners LLC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.

Verify at the official NPI Registry.