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

Dr. Kenneth U Ekechukwu, MD

Individual provider Diagnostic Radiology Physician · NPI 1255331096

Dr. Kenneth U Ekechukwu, MD is an Interventional Radiology in Forest Park, Illinois. Qualified in 1984, 42 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
42
Licensed in
IL
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1225 Harlem Ave
Forest Park, IL 60130-2407
Phone: (708) 657-4540
Fax: (708) 657-4535
Show map & directions

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

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036-083256 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036-083256 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036-083256 (IL)

Record details

NPI number1255331096
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 22, 2005
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address1225 Harlem Ave, Forest Park, IL 60130-2407

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY, INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount