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

Hisham Alwakkaa

Individual provider General Practice Physician · NPI 1477089969

Hisham Alwakkaa is a Diagnostic Radiology in Woodridge, Illinois. Qualified in 2011, 15 years ago. Practices with Sra Medical Imaging LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Connecticut and Illinois.

Years since qualifying
15
Licensed in
CT, IL
In the registry since
2017
Specialties on file
3

Practice location Address checks out

2521 Cedar Hill Ln
Woodridge, IL 60517-4273
Phone: (203) 212-7241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036163665 (IL)
General Practice Physician Taxonomy 208D00000X · Licence 70164 (CT)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 163655 (IL)

Record details

NPI number1477089969
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sra Medical Imaging Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Woodridge