Todd R Brack (NPI# 1669422630, PAC ID# 4082644885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669422630 |
| PAC ID by PECOS | 4082644885 |
| Professional Enrollment ID | I20050820000032 |
| Full Name | Todd R Brack |
| Organization Legal Name | SPECIALISTS IN MEDICAL IMAGING SC |
| Address |
355 Ridge Ave Evanston IL 60202-3328 |
| Phone Number | 8324135302 |
| Gender | M |
| Credential | DO |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1991 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2163733544 |
| Number of Group Practice Members | 92 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140180 | PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER |
| 140117 | PRESENCE RESURRECTION MEDICAL CENTER |
| 140224 | PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO |
| 140251 | COMMUNITY FIRST MEDICAL CENTER |
| 140206 | NORWEGIAN-AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1044 N Francisco Ave, Chicago, IL 60622-2743 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 2233 W Dividsion St, Chicago, IL 60622-8151 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 2900 N Lake Shore Dr, Chicago, IL 60657-5640 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 5645 W Addison St, Chicago, IL 60634-4403 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 7435 W Talcott Ave, Suite 7, Chicago, IL 60631-3707 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 355 Ridge Ave, Evanston, IL 60202-3328 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 695 N Kellogg St, Galesburg, IL 61401-2807 | 8324135302 | SPECIALISTS IN MEDICAL IMAGING SC |
| 2000 Spring Rd, Suite 200, Oak Brook, IL 60523-1956 | 7752833130 | SPECIALISTS IN MEDICAL IMAGING SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 74% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 99% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | SPECIALISTS IN MEDICAL IMAGING SC |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis A Leskosky | Diagnostic Radiology | Specialists In Medical Imaging Sc | 5641 Blackwater Rd, Virginia Beach, VA 23457-1151 |
| Nimarta Singh | Diagnostic Radiology | Specialists In Medical Imaging Sc | 2000 Spring Rd, Suite 200, Oak Brook, IL 60523-1956 |
| Jon S Kim | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1802 Stone Ridge Cir, Austin, TX 78746-7809 |
| Vadim Grechushkin | Diagnostic Radiology | Specialists In Medical Imaging Sc | 23 Deer Valley Dr, Nesconset, NY 11767-1552 |
| Matthew Michael Bernbeck | Diagnostic Radiology | Specialists In Medical Imaging Sc | 861 W Roscoe St, Unit 3, Chicago, IL 60657-2303 |
| Keith W. Hunsaker | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1205 Settlers Bay Ct, Bellbrook, OH 45305-8790 |
| John Patrick Sullivan | Diagnostic Radiology | Specialists In Medical Imaging Sc | 15430 Little Stone Way, Milton, GA 30004-6900 |
| Peter A Lowry | Diagnostic Radiology | Specialists In Medical Imaging Sc | 927 Cole St, Golden, CO 80401-4110 |
| Jack Lyons | Diagnostic Radiology | Specialists In Medical Imaging Sc | 100 N River Rd, Des Plaines, IL 60016-1209 |
| Alan K Morimoto | Diagnostic Radiology | Specialists In Medical Imaging Sc | 18601 Waxwing St, Lake Oswego, OR 97035-8247 |
| Street Address |
355 RIDGE AVE |
| City | EVANSTON |
| State | IL |
| Zip | 60202-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammed Saudye | Cardiovascular Disease (cardiology) | Shifa Cardiology Consultants Md Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Malati Vadapalli Sekaran | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Janis M Atkinson | Pathology | North Shore Pathology Consultants Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Jonathan E Vogel | Neurology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Dorota M Filipiuk | Pathology | North Shore Pathology Consultants Sc | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Patricia L Colledge | Nurse Practitioner | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Suhair S Abdel-jalil | Rheumatology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Adi Gidron | Hematology/oncology | Presence Healthcare Services | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Lauren C Pierce | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Samantha Myers Callow | Emergency Medicine | Cepamerica Illinois LLP | 355 Ridge Ave, Evanston, IL 60202-3328 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mirel Castle | Psychologist, Clinical | 1818 Dempster St, Evanston, IL 60202-1003 | |
| Marsha A Smith | Clinical Social Worker | 1818 Dempster St, Evanston, IL 60202-1003 | |
| Frank Rubin | Optometry | 1962 Dempster St, Evanston, IL 60202-1016 | |
| Coriann C Bauer | Chiropractic | 1954 Dempster St, Evanston, IL 60202-1016 | |
| Tabatha L Downey | Family Practice | Erie Family Health Center Inc | 1285 Hartrey Ave, Evanston, IL 60202-1056 |
| Sydney K Reed | Clinical Social Worker | 1151 Ashland Ave, Evanston, IL 60202-1140 | |
| Jessica Chase Burtner | Optometry | Myeyedr Optometry of Illinois LLC | 522 Dempster St, Evanston, IL 60202-1303 |
| Fredric Jerome Levy | Psychiatry | 1010 Sheridan Rd, Evanston, IL 60202-1440 | |
| Carl E Hill | Family Medicine | 841 Dodge Ave, Evanston, IL 60202-1552 | |
| Brenda N Black | Clinical Social Worker | 717 Main St, 2e, Evanston, IL 60202-1701 | |
| Find all physicians in zip 60202 | |||
| City | EVANSTON |
| Zip Code | 60202 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | EVANSTON + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Todd R Brack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.