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

Dr. Rada Ivanov, MD

Individual provider Critical Care Medicine (Internal Medicine) Physician · NPI 1790782613

Dr. Rada Ivanov, MD is a Critical Care (Intensivists) in Chicago, Illinois. Qualified in 1990, 36 years ago. Practices with Governor Juan F Luis Hospital and Medical Center, a 41-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Guam, Illinois and Indiana.

Years since qualifying
36
Licensed in
GU, IL, IN
In the registry since
2005
Specialties on file
4
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

5600 W Addison St Ste 304
Chicago, IL 60634-4401
Phone: (773) 481-1570
Fax: (773) 481-0547
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2300 N Edward St, Decatur, IL 62526-4192 — (217) 876-4200
  • 302 W Hay St Ste 110, Decatur, IL 62526-4167 — (217) 876-4200
  • 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 — (260) 266-2020

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 01085124A (IN)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence 036089071 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 036089071 (IL)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence M-2341 (GU)

Record details

NPI number1790782613
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESOctober 31, 2022
Certification dateOctober 31, 2022
Mailing address5600 W Addison St, Suite 304, Chicago, IL 60634-4401

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Governor Juan F Luis Hospital And Medical Center — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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