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

Marinos Kontzialis

Individual provider Neuroradiology Physician · NPI 1528214855

Marinos Kontzialis is a Diagnostic Radiology in Chicago, Illinois. Qualified in 2005, 21 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
21
Licensed in
IL
In the registry since
2008
Specialties on file
3
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Practice location Address checks out

676 N Saint Clair St Ste 1400
Chicago, IL 60611-2951
Phone: (312) 695-1292
Fax: (312) 695-3999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1653 W Congress Pkwy, Chicago, IL 60612-3833 — (312) 563-3064

Specialties & licences

Diagnostic Neuroimaging (Radiology) Physician (primary) Taxonomy 2085D0003X · Licence 036138788 (IL)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 036-138788 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036-138788 (IL)

Record details

NPI number1528214855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 18, 2008
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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