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

Dr. Robert Nordstrom, MD

Individual provider Diagnostic Radiology Physician · NPI 1639112113

Dr. Robert Nordstrom, MD is a Diagnostic Radiology in Springfield, Illinois. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1998, 28 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
28
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IL, MO
In the registry since
2006
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

800 E Carpenter St
Springfield, IL 62769-6924
Phone: (217) 544-6464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 — (217) 726-8096
  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-0690
  • 7900 Lees Summit Rd, Kansas City, MO 64139-1236 — (816) 404-0690

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036105375 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2009014887 (MO)

Record details

NPI number1639112113
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
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 schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations15 on file with Medicare

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