Radiology Associates of Illinois SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RADIOLOGY ASSOCIATES OF ILLINOIS SC

Practice address

5645 W Addison St
Chicago, IL 60634-4403

Phone

(747) 293-9005

NPI assigned

Oct 22, 2024

Last updated

Jan 24, 2025By 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

Patrick Santore

Title

Vice President

Phone

(813) 924-1577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, OH, WI3 enrollments

Enrollment records 3

Practitioners 4

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.

• Ifeoma Aguanunu, M.D.

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1003221276

  OH

  Medicare reassignment NPD
• Jeffrey Soon Bong, D.O.

  • Diagnostic Neuroimaging (Radiology) Physician
  • Port St Lucie, FL
  • NPI 1881800621

  NC

  Medicare reassignment NPD
• William A. Lynn, M.D.

  • Diagnostic Radiology Physician
  • Richmond, IN
  • NPI 1013954304

  OH

  Medicare reassignment NPD
• Michael J Wilbur, M.D.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1841212016
  Medicare reassignment NPD

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

{
    "created_epoch": "1729555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1710708771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD STE 102-587",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "472-029-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344403",
            "telephone_number": "747-293-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 N Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852161",
            "country_code": "US",
            "telephone_number": "747-293-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RADIOLOGY ASSOCIATES OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-22",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "SANTORE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "813-924-1577"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George A Radich, MD
• Kimberly Radich, MS, RD, LDN
• Kathryn Radigan, M.D.
• Samantha Rose Radinsky
• Radiological Physicians, LTD.
• Susanne S Radivojevic, DDS
• Radkhan Leland Dental, Inc.
• Sydney Radler, LCSW
• Emma Radley
• Caitlin Radnis, MD

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, 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 24, 2025; 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.