Leon J Wise (NPI# 1023221926, PAC ID# 3072777101) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1023221926 |
| PAC ID by PECOS | 3072777101 |
| Professional Enrollment ID | I20120809000493 |
| Full Name | Leon J Wise |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Address |
107 Watters Dr Dwight IL 60420-1280 |
| Phone Number | 8155843343 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436061827 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140110 | OTTAWA REGIONAL HOSPITAL DBA OSF SAINT ELIZABETH MDL CTR |
| 140067 | OSF SAINT FRANCIS MEDICAL CENTER |
| 140161 | SAINT JAMES HOSPITAL |
| 140064 | ST MARY MEDICAL CENTER |
| 141310 | OSF SAINT PAUL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 107 Watters Dr, Dwight, IL 60420-1280 | 8155843343 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 3315 N Seminary St, Galesburg, IL 61401-1251 | 3093441000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 3333 N Seminary St, Galesburg, IL 61401-1251 | 3093443161 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1401 E 12th St, Mendota, IL 61342-9216 | 8155397461 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 1000 W Harlem Ave, Monmouth, IL 61462-1007 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD | |
| 435 Maxine Dr, Morton, IL 61550-2498 | 3092632424 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 | 3097404270 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 221 Ne Glen Oak, Methodist Medical Center, Peoria, IL 61636-0001 | 3096725522 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 5114 N Glen Park Place Rd, Peoria, IL 61614-4686 | 3096832428 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 530 Neglen Oak Ave, Peoria, IL 61636-0001 | 3096552000 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 2500 W Reynolds St, Pontiac, IL 61764-9774 | 8158422828 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| 10 Saint Clare Ct, Washington, IL 61571-9239 | 3095664062 | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 99% |
| Organization Legal Name | CENTRAL ILLINOIS RADIOLOGICAL ASSOCIATES LTD |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cameron Taylor | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 111 Oakwood Rd, East Peoria, IL 61611-1853 |
| Jamie J Rinehart | Physician Assistant | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr, Suite E, Peoria, IL 61614-7300 |
| Alexander Roman Oshmyansky | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 8712 W Fair Dr, Littleton, CO 80123-3229 |
| Nuha Krad | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 172 Gitano, Irvine, CA 92618-1115 |
| Lawrence C Wang | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Grace A Tye | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 956 Calle Santa Cruz, Encinitas, CA 92024-6609 |
| Hugh Mcswain | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 31 Dorset Ln, Mill Valley, CA 94941-5203 |
| Miriam Jill Sullivan | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 114 W Stratford Dr E, Peoria, IL 61614-7300 |
| Howard I Roth | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Steven J Ullenius | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 350 N Wall St, Kankakee, IL 60901-2901 |
| Street Address |
107 WATTERS DR |
| City | DWIGHT |
| State | IL |
| Zip | 60420-1280 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven A Roat | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| David L Porter | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Clarissa F Rhode | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Mikala Brinkman | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Peter A Williams | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Joseph K Gerwin | Diagnostic Radiology | Central Illinois Radiological Associates Ltd | 107 Watters Dr, Dwight, IL 60420-1280 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darcy L Beals | Qualified Audiologist | 134 W Main St, William W Fox Developmental Center, Dwight, IL 60420-1322 | |
| Michael Scott Smith | Chiropractic | 158 E Main St, Dwight, IL 60420-1341 | |
| Kathleen A Ulivi | Nurse Practitioner | Morris Hospital | 101 S Prairie Ave, Dwight, IL 60420-1350 |
| Michael C Cichon | General Practice | Morris Hospital | 101 S Prairie Ave, Dwight, IL 60420-1350 |
| Philomena M Francis | Family Medicine | 100 W S St, Dwight, IL 60420-1368 | |
| Maulin G Shah | Family Medicine | Osf Multi-specialty Group | 105 S John St, Dwight, IL 60420-1413 |
| Jeffery Ray Bennett | Chiropractic | 103 S John St, Dwight, IL 60420-1413 | |
| Marisa M Schrum | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Ryan P Crowley | Physical Medicine and Rehabilitation | Athletic and Therapeutic Institute of Naperville LLC | 108 Watters Dr, Dwight, IL 60420-2200 |
| Jena C Martis | Nurse Practitioner | Riverside Health System | 106 B Watters Dr, Dwight, IL 60420-2200 |
| Find all physicians in zip 60420 | |||
| City | DWIGHT |
| Zip Code | 60420 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | DWIGHT + DIAGNOSTIC RADIOLOGY |
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| 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.