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

Dr. Mickey Steven Chabak, MD

Individual provider Diagnostic Radiology Physician · NPI 1831359512

Dr. Mickey Steven Chabak, MD is a Diagnostic Radiology in Springfield, Illinois. Graduated from Southern Illinois University School of Medicine in 2008, 18 years ago. Practices with Ft Jesse Imaging Center LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Illinois, Michigan, Missouri and Nebraska and 1 more.

Years since qualifying
18
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MI, MO, NE, NY
In the registry since
2008
Specialties on file
6
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

1025 S 6th St
Springfield, IL 62703-2499
Phone: (217) 528-7541
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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 036146753 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301107866 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2018018425 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 340324 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25502 (NE)

Record details

NPI number1831359512
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2008
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Ft Jesse Imaging Center Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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