Individual provider Active NPI

Glen Geremia, MD

  • Neuroradiology Physician
  • Park Ridge, IL
National Provider Identifier
1508801697
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
036062473 Issued in IL
Practice address
1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343
Phone
(847) 803-1000
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036062473 IL Primary
Diagnostic Radiology Physician 2085R0202X 036-062473 IL

Addresses

Primary practice location

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

1775 W Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-5986

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network
Direct Messaging Address ggeremia251052@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20050504000520 IL Practitioner - Diagnostic Radiology 1850380189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Imaging Consultants LLCGroup PAC ID 2567784408, 163 clinicians
Advocate Health and Hospitals CorporationGroup PAC ID 7810800935, 3,081 clinicians

Practice addresses (Care Compare)

1770 Luther LN
Park Ridge, IL 60068-1270
Phone (847) 723-5050

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone (847) 318-2800

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

5540 Touhy Ave
Skokie, IL 60077-3234
Phone (847) 349-4960

77 Rand Rd
Des Plaines, IL 60016-1005
Phone (847) 298-0310

Hospital & facility affiliations

  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Advocate Illinois Masonic Medical Center Hospital, Chicago, IL, CCN 140182
  • Advocate Condell Medical Center Hospital, Libertyville, IL, CCN 140202
  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036062473ILMDNeuroradiology Physician
036-062473ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Radiology Consultants SC Diagnostic Radiology CurrentSince Sep 1, 2008 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Feb 1, 2026 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Feb 1, 2026 Accepting new patients
Elk Grove Radiology S.C. Diagnostic Radiology Past Accepting new patients
Chicago Institute of Neurosurgery & Neuroresearch Past Accepting new patients
Bonaventure Medical Foundation, LLC Past Accepting new patients
Affiliated Radiologists, SC Past Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

1245 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 797-7226

29373 Network Pl
Chicago, IL 60673

420 W Butterfield Rd
Elmhurst, IL 60126
Phone (630) 832-2300

17800 Kedzie Ave
Hazel Crest, IL 60429
Phone (708) 213-4200

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

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 9

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 8

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1508801697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681343",
            "telephone_number": "847-803-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 W Dempster St",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681143",
            "country_code": "US",
            "telephone_number": "847-723-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEREMIA",
        "first_name": "GLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036062473",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-062473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggeremia251052@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1420 Renaissance Dr Ste 307",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1420 Renaissance Dr Ste 307",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.