Active NPI
Morton Grove Medical Imaging, LLC
- Radiology Clinic/Center
- Morton Grove, IL
National Provider Identifier
1366490740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- MORTON GROVE MEDICAL IMAGING, LLC
- Practice address
- 9000 Waukegan Rd
Suite 110
Morton Grove, IL 60053-2111 - Phone
- (847) 213-2700
- Fax
- (847) 213-2700
- NPI assigned
- May 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Goldin, M.D.
- Title
- Director
- Phone
- (847) 213-2700
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Radiology Clinic/Center | 261QR0200X | Primary | ||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
9000 Waukegan Rd
Suite 110
Morton Grove, IL 60053-2111
Mailing address
9000 Waukegan Rd
Suite 110
Morton Grove, IL 60053-2111
Phone (847) 213-2700
Other names 1
- 3T Imaging of Morton Grove
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051020000471 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 2264458090 | Practice locations: Morton Grove, IL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1070181 | Morton Grove Medical Imaging L L C | Certificate of waiver | Jun 21, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Highland Park, IL
- NPI 1609817220
Member Of
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Crystal Lake, IL
- NPI 1902828197
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1467613653
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1013096866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1366490740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 WAUKEGAN RD",
"address_2": "SUITE 110",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532111",
"telephone_number": "847-213-2700",
"fax_number": "847-213-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 WAUKEGAN RD",
"address_2": "SUITE 110",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532111",
"telephone_number": "847-213-2700",
"fax_number": "847-213-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTON GROVE MEDICAL IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-05",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "GOLDIN",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-213-2700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "3T Imaging of Morton Grove",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.