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

Edi Kapetanovic, MD/MBA

Individual provider Diagnostic Radiology Physician · NPI 1841796935

Edi Kapetanovic, MD/MBA is a Diagnostic Radiology in Chicago, Illinois. Graduated from Yale University School of Medicine in 2018, 8 years ago. Practices with Ellis Hospital, a 252-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Yale University School of Medicine
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone: (312) 695-5978
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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 036164007 (IL)

Record details

NPI number1841796935
Entity typeIndividual (Type 1)
GenderMale
Credentials MD/MBA
Sole proprietorNo
NPI enumeratedApril 5, 2018
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ellis Hospital — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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