Organization Active NPI

Integrated Imaging Consultants LLC

  • Diagnostic Radiology Physician
  • Park Ridge, IL
National Provider Identifier
1700285335
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTEGRATED IMAGING CONSULTANTS LLC
Practice address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone
(847) 803-1000
Fax
(847) 803-1098
NPI assigned
Aug 20, 2014
Last updated
Sep 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Dr. Kevin Kirshenbaum, MDNPI 1326094236
Title
Authorized Signer
Phone
(847) 803-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1775 Dempster St
Park Ridge, IL 60068-1143

Mailing address

1420 Renaissance Dr Ste 307
Park Ridge, IL 60068-1343
Phone (847) 803-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN, WI, FL, NC, MI, CA, IA, OH, NJ, NM, CO, UT, SC, OK, AZ, OR, TX, GA, HI, WA, DC, VA, MN, MA, VT, MS, WY, MT, KY, PA, CT, NY, DE, KS, IN37 enrollments

Enrollment records 37

Enrollment IDStateProvider typePAC IDDetails
O20141204001441 IL Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 208 practitioners
O20170113000343 TN Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN
O20170202001357 WI Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 3 practitioners
Practice locations: Eau Claire, WI; Mequon, WI; Middleton, WI; Milwaukee, WI
O20180529001021 FL Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 14 practitioners
Practice locations: Parkland, FL; Winter Garden, FL; Windermere, FL; Wesley Chapel, FL; Wellington, FL; Temple Terrace, FL; St. Petersburg, FL; St Augustine, FL…
O20200217001584 NC Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Chapel Hill, NC
O20200625000500 MI Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 3 practitioners
Practice locations: Detroit, MI; Grand Rapids, MI; Grosse Pointe Park, MI
O20200715003086 CA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 22 practitioners
Practice locations: Sacramento, CA; San Diego, CA; Newport Coast, CA; San Luis Obispo, CA; Simi Valley, CA; South Pasadena, CA; Tustin, CA; Valley Center, CA…
O20201105001447 IA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Dubuque, IA
O20201106001433 OH Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 4 practitioners
Practice locations: Avon, OH; Dublin, OH; Hilliard, OH; Sylvania, OH
O20201109001669 NJ Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 3 practitioners
Practice locations: Denville, NJ; Hamilton, NJ; Tinton Falls, NJ
O20201109003352 NM Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM
O20201109003366 CO Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 3 practitioners
Practice locations: Castle Pines, CO; Denver, CO; Steamboat Springs, CO
O20201110000469 UT Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT
O20201110001262 SC Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 2 practitioners
Practice locations: Myrtle Beach, SC; Bluffton, SC
O20201111001596 NC Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 3 practitioners
Practice locations: Charlotte, NC; Cary, NC; Raleigh, NC; Pfafftown, NC
O20201113000281 OK Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Muskogee, OK
O20201119002100 AZ Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 5 practitioners
Practice locations: Paradise Valley, AZ; Peoria, AZ; Scottsdale, AZ; Tucson, AZ
O20201120001330 OR Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Oswego, OR
O20201125000002 TX Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 12 practitioners
Practice locations: Dickinson, TX; Tyler, TX; Spring, TX; San Antonio, TX; Plano, TX; Magnolia, TX; Lumberton, TX; Longview, TX…
O20210126003552 GA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA
O20210818000095 HI Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 4 practitioners
Practice locations: Honolulu, HI; Kailua, HI; Kaneohe, HI
O20210818000247 WA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 2 practitioners
Practice locations: Bellevue, WA; Seattle, WA
O20210825000096 DC Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 5 practitioners
Practice locations: Arlington, VA; Great Falls, VA; Potomac, MD; Rockville, MD
O20210910001402 VA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 7 practitioners
Practice locations: Ashburn, VA; Danville, VA; Purcelville, VA; Great Falls, VA; Williamsburg, VA
O20210910002622 MN Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 2 practitioners
Practice locations: Edina, MN; Plymouth, MN
O20210928001070 MA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 2 practitioners
Practice locations: Worcester, MA; Acton, MA; Framingham, MA
O20221208000096 VT Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: East Dorest, VT
O20230104000846 MS Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Biloxi, MS
O20230111002989 WY Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Wilson, WY
O20230201002912 MT Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Bozeman, MT
O20230215002806 KY Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Crestwood, KY; Louisville, KY
O20240110001885 PA Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Girard, PA
O20240322002179 CT Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: New Haven, CT
O20240531001190 NY Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 2 practitioners
Practice locations: Poughkeepsie, NY; Staten Island, NY
O20240807002852 DE Part B Supplier - Clinic/Group Practice 2567784408 Receives reassigned benefits from 1 practitioner
Practice locations: Magnolia, DE
O20240828000596 KS Part B Supplier - Clinic/Group Practice 2567784408 Practice locations: Overland Park, KS
O20240829001651 IN Part B Supplier - Clinic/Group Practice 2567784408 Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2040 Ogden Ave
Aurora, IL 60504
Phone (630) 585-7100

2285 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

3021 N Sheffield Ave
Chicago, IL 60657
Phone (773) 296-7450

918 W Montrose Ave
Chicago, IL 60613
Phone (312) 528-5554

9813 S Western Ave
Chicago, IL 60643
Phone (773) 445-3500

1710 N Randall Rd
Ste 180
Elgin, IL 60123
Phone (847) 930-6990

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

454 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 387-6424

29 Orland Square Dr
Orland Park, IL 60462
Phone (708) 403-2600

9550 W 167th St
Orland Park, IL 60467
Phone (708) 478-7437

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

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

9933 Lawler Ave
Ste 560
Skokie, IL 60077

Practitioners & affiliated clinicians

Practitioners 319

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.

View all 319

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1700285335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681343",
            "telephone_number": "847-803-1000",
            "fax_number": "847-803-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-803-1000",
            "fax_number": "847-803-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED IMAGING CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "KIRSHENBAUM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNER",
        "authorized_official_telephone_number": "847-803-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.