Libertyville Imaging Associates, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LIBERTYVILLE IMAGING ASSOCIATES, INC

Practice address

333 Peterson Rd
Suite 230
Libertyville, IL 60048-1085

Phone

(847) 549-8000

Fax

(847) 549-8080

NPI assigned

Aug 29, 2005

Last updated

Jan 14, 2026By 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

Mr. Shoukath Ahmed

Title

Director

Phone

(847) 549-8000

Specialties & licenses 2

Addresses

Other names 1

• Libertyville Imaging Center Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Gregory T Goldstein, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1821063496
  NPD
• Gustavo Eduardo Saravia, MD

  • Diagnostic Radiology Physician
  • Villa Park, IL
  • NPI 1659353621
  NPD
• Yariv Cohen, M.D.

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1154396034
  NPD
• Eugene Pai, MD

  • Diagnostic Radiology Physician
  • Des Plaines, IL
  • NPI 1033157425
  NPD (past)
• George Watts Colclough, MD

  • Anesthesiology Physician
  • Lexington, KY
  • NPI 1720179336
  NPD (past)
• Gregory I Shenk, M.D.

  • Specialist
  • Casa Grande, AZ
  • NPI 1396793246
  NPD (past)

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1427041086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PETERSON RD",
            "address_2": "SUITE 230",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481085",
            "telephone_number": "847-549-8000",
            "fax_number": "847-549-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PETERSON RD",
            "address_2": "SUITE 230",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481085",
            "telephone_number": "847-549-8000",
            "fax_number": "847-549-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTYVILLE IMAGING ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SHOUKATH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-549-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Libertyville Imaging Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erene Lezon
• Michael Lezon, DPT
• Liberty Anesthesia Services LLC
• Libertyville Ankle & Foot Clinic, Inc
• Libertyville Counseling LTD (Archway Counseling Group)
• Libertyville Longevity and Light Center
• Libertyville Longevity and Light Center
• Libertyville Manor
• Libertyville Manor Extended Care Facility, Inc.
• Libertyville Neurosurgery, LLC

• Diagnostic Radiology Physician in Libertyville, IL
• Providers in Libertyville, 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 Jan 14, 2026; 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.

Verify at the official NPI Registry.