Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bennett Lum, MD

Individual provider Diagnostic Radiology Physician · NPI 1497774459

Dr. Bennett Lum, MD is a Diagnostic Radiology in Evergreen, Illinois. Qualified in 1989, 37 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
37
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2800 W 95th Street Little Company Of Mary Hospital
Evergreen, IL 60805
Phone: (708) 229-5104
Fax: (630) 323-1699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036082857 (IL)

Record details

NPI number1497774459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023
Mailing address111 Oakwood Rd, East Peoria, IL 61611-1853

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations22 on file with Medicare

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