Individual provider Active NPI

Carol Lin, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1467613653
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036132863 Issued in IL
Practice address
1653 W Congress Pkwy
Diagnostic Radiology/Body Imaging
Chicago, IL 60612-3833
Phone
(312) 942-5000
NPI assigned
Jun 19, 2008
Last updated
May 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054862 IL
Diagnostic Radiology Physician 2085R0202X 036132863 IL Primary

Addresses

Primary practice location

1653 W Congress Pkwy
Diagnostic Radiology/Body Imaging
Chicago, IL 60612-3833

Mailing address

1653 W Congress Pkwy
Diagnostic Radiology/Body Imaging
Chicago, IL 60612-3833
Phone (312) 942-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140618000789 IL Practitioner - Diagnostic Radiology 2668696469 Reassigns benefits to 4 organizations
I20150722005809 MI Practitioner - Diagnostic Radiology 2668696469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basha Diagnostics P CGroup PAC ID 5890681746, 28 clinicians

Practice addresses (Care Compare)

30701 Woodward Ave
Suite LL
Royal Oak, MI 48073-0988
Phone (248) 288-1600

8930 Waukegan Rd
Suite 130
Morton Grove, IL 60053-2132
Phone (847) 929-5453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054862ILMDInternal Medicine Physician
036132863ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Medical Imaging, LLC Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Naperville Medical Imaging LLC CurrentSince May 1, 2015 Accepting new patients
Morton Grove Medical Imaging, LLC Diagnostic Radiology CurrentSince May 1, 2015 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Envision Medical Imaging, LLC Diagnostic Radiology CurrentSince Apr 3, 2024 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Sep 18, 2023 Accepting new patients
Sinai Community Foundation CurrentSince Jul 1, 2015 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Jun 30, 2015 Accepting new patients
Prime Medical Imaging, LLC Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Feb 22, 2024 Accepting new patients
Mount Sinai Community Foundation Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740

8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453

9000 Waukegan Rd
Ste 110
Morton Grove, IL 60053
Phone (847) 213-2700

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

13753 19 Mile Rd
Sterling Hts, MI 48313
Phone (586) 566-8680

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1467613653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "DIAGNOSTIC RADIOLOGY/BODY IMAGING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1653 W CONGRESS PKWY",
            "address_2": "DIAGNOSTIC RADIOLOGY/BODY IMAGING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123833",
            "telephone_number": "312-942-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054862",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036132863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.