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

Dr. John Warren Ebersole, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649535782

Dr. John Warren Ebersole, MD is a Diagnostic Radiology in Evanston, Illinois. Graduated from Rush Medical College of Rush University in 2012, 14 years ago. Practices with Rush University Medical Group, a 1,499-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Rush Medical College of Rush University
Licensed in
IL
In the registry since
2012
Specialties on file
2
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

2650 Ridge Ave Ste 1304
Evanston, IL 60201-1718
Phone: (847) 570-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036143255 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 125061655 (IL)

Record details

NPI number1649535782
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2012
Last updated in NPPESJuly 21, 2022
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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