Individual provider Active NPI

David E Foosaner, MD

  • Diagnostic Radiology Physician
  • Libertyville, IL
National Provider Identifier
1467470815
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036086418 Issued in IL
Practice address
801 S Milwaukee Rd
Libertyville, IL 60048-3199
Phone
(847) 362-2900
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036086418 IL Primary

Addresses

Primary practice location

801 S Milwaukee Rd
Libertyville, IL 60048-3199

Mailing address

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

Other practice location 1

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 535-6300

Other identifiers 1

IdentifierTypeStateIssuer
0360864183MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080329000034 IL Practitioner - Diagnostic Radiology 7214013382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians

Practice addresses (Care Compare)

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600

1435 N Hunt Club Rd
Gurnee, IL 60031-2656
Phone (847) 599-7365

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

6 E Phillip Rd
Vernon Hills, IL 60061-1700
Phone (847) 680-0500

695 Park Ave
Lake Villa, IL 60046-6531
Phone (224) 541-9100

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 990-5380

825 S Milwaukee Ave
Libertyville, IL 60048-3218
Phone (847) 573-2810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036086418ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Nov 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Nov 1, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1467470815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-362-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE RD",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483199",
            "telephone_number": "847-362-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Westmoreland Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451658",
            "country_code": "US",
            "telephone_number": "847-535-6300",
            "fax_number": "847-535-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOOSANER",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036086418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360864183",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.