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MEDRAD CLINICS, SC
NPI 1780815241
Clinic/Center - Radiology in Forest Park, IL

Active since August 01, 2009CLIA 14D2124332 · Microscopy
1225 HARLEM AVE, FOREST PARK, IL 60130(708) 657-4540(708) 657-4535 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 11, 2017, Jul 3, 2017 (3 updates tracked since 2017).

About Medrad Clinics, Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDRAD CLINICS, SC (NPI 1780815241) is a healthcare organization registered as a radiology in Forest Park, Illinois and active in the NPI registry since August 2009. The organization holds a CLIA Microscopy certificate valid through January 12, 2027 and lists Kenneth Uzoma Ekechukwu, President, as its authorized official.

NPPES Registry Identity

NPI1780815241
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameMEDRAD CLINICS, SC
Location Address1225 HARLEM AVEForest Park, IL 60130-2407
Mailing Address1225 Harlem AveForest Park, IL 60130-2407 · (708) 657-4540 · Fax (708) 657-4535
Phone(708) 657-4540
Fax(708) 657-4535
Organization SubpartNo
Authorized OfficialKenneth Uzoma EkechukwuPresident · (630) 967-4997
Enumeration DateAugust 1, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1780815241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in IL · 042.617504
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 042.617504 (IL)
1225 HARLEM AVE, Forest Park, IL 60130
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medrad Clinics, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medrad Clinics, Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kenneth Ekechukwu, M.D.
Interventional Radiology
NPI 1255331096
1225 HARLEM AVE
Forest Park, IL 60130
(708) 657-4540
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2124332

Medrad Clinics Sc · Forest Park, IL
Active · expires Jan 12, 2027
CLIA Number14D2124332
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2025
Certificate Expiration DateJanuary 12, 2027
Laboratory DirectorKenneth U. Ekechukwu MD
Laboratory Phone(708) 657-4540
Laboratory LocationMedrad Clinics Sc1225 Harlem Ave, Forest Park, IL 60130
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medrad Clinics, Sc's NPI number?

The NPI number for Medrad Clinics, Sc is 1780815241. It was assigned to this organization in the NPPES registry on August 1, 2009.

Where is Medrad Clinics, Sc located?

Medrad Clinics, Sc is located at 1225 Harlem Ave, Forest Park, IL 60130. The listed phone number is (708) 657-4540.

What is Medrad Clinics, Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Medrad Clinics, Sc enrolled in Medicare?

Yes. Medrad Clinics, Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medrad Clinics, Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Radiology) reassigns their Medicare billing to Medrad Clinics, Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medrad Clinics, Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2124332) is associated with this NPI, valid through January 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medrad Clinics, Sc accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Medrad Clinics, Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medrad Clinics, Sc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.