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

Ethan Ungchusri

Individual provider Vascular & Interventional Radiology Physician · NPI 1437656683

Ethan Ungchusri is a Diagnostic Radiology in Chicago, Illinois. Graduated from Texas Tech University Health Science Center School of Medicine in 2018, 8 years ago. Practices with University of Chicago, a 1,681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637
Phone: (773) 702-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-3687
  • 1959 Ne Pacific St, Seattle, WA 98195-0001 — (206) 543-3687

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036171306 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1437656683
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2018
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chicago