Individual provider Active NPI

Vicky Chen Lin, MD

  • Diagnostic Radiology Physician
  • Elk Grove Village, IL
National Provider Identifier
1881925055
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36122558 Issued in IL
Practice address
31 S. Arlington Heights Road
Elk Grove Village, IL 60007
Phone
(847) 439-2315
Fax
(847) 439-3935
NPI assigned
Jan 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 36122558 IL Primary

Addresses

Primary practice location

31 S. Arlington Heights Road
Elk Grove Village, IL 60007

Mailing address

31 S. Arlington Heights Road
Elk Grove Village, IL 60007
Phone (847) 439-2315

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
I20101101000258 IL Practitioner - Diagnostic Radiology 8022202316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bright Light Medical Imaging SCGroup PAC ID 3678527140, 18 clinicians

Practice addresses (Care Compare)

31 Arlington Heights Rd
Elk Grove Village, IL 60007-1405
Phone (847) 439-2315

Merit-based Incentive Payment System (MIPS)

Final score
78.79 of 100Reported as group
Quality
52.46
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36122558ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Light Medical Imaging, SC Diagnostic Radiology CurrentSince Feb 2, 2016 Accepting new patients

Locations

7456 S State Rd
Chicago, IL 60638
Phone (708) 930-1420

7372 Route 83
Darien, IL 60561
Phone (630) 455-5552

31 Arlington Heights Rd
Elk Grove Vlg, IL 60007
Phone (847) 439-2315

8319 W North Ave
Melrose Park, IL 60160
Phone (708) 450-9700

646 N Addison Rd
Villa Park, IL 60181
Phone (630) 686-1000

270 W Loop Rd
Wheaton, IL 60189
Phone (630) 653-3284

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1881925055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S. ARLINGTON HEIGHTS ROAD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-439-2315",
            "fax_number": "847-439-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S. ARLINGTON HEIGHTS ROAD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-439-2315",
            "fax_number": "847-439-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "VICKY",
        "middle_name": "CHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-27",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36122558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.