Active NPI
Avrum Joshua Epstein, M.D.
- Diagnostic Radiology Physician
- Skokie, IL
National Provider Identifier
1407849250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036052962
- Practice address
- 9600 Gross Point Rd
Suite a
Skokie, IL 60076-1214 - Phone
- (847) 933-6111
- Fax
- (847) 933-6113
- NPI assigned
- Aug 26, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036052962 | IL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036052962 | IL |
Addresses
Primary practice location
9600 Gross Point Rd
Suite a
Skokie, IL 60076-1214
Mailing address
9600 Gross Point Rd
Suite a
Skokie, IL 60076-1214
Phone (847) 933-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036052962 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skokie Valley Radiologist | Past | Accepting new patients | |
| Proscan Open MRI North, LTD. | Diagnostic Radiology | Past | Accepting new patients |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Radiology Clinic/Center
- Skokie, IL
- NPI 1205838828
-
dba ProScan Imaging Tri-County
- Diagnostic Radiology Physician
- Springdale, OH
- NPI 1225028392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1407849250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 GROSS POINT RD",
"address_2": "SUITE A",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-933-6111",
"fax_number": "847-933-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 GROSS POINT RD",
"address_2": "SUITE A",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761214",
"telephone_number": "847-933-6111",
"fax_number": "847-933-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPSTEIN",
"first_name": "AVRUM",
"middle_name": "JOSHUA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036052962",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036052962",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.