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

Ryan J Avery, MD

Individual provider Nuclear Medicine Physician · NPI 1215176078

Ryan J Avery, MD is a Diagnostic Radiology in Chicago, Illinois. Graduated from Louisiana State University School of Medicine in New Orleans in 2004, 22 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
AZ, IL
In the registry since
2009
Specialties on file
4
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

676 N Saint Clair St Ste 800
Chicago, IL 60611
Phone: (312) 695-5753
Fax: (312) 695-5645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 622 West 168th Street, New York, NY 10032 — (212) 305-9335

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036.146830 (IL)
Nuclear Medicine Physician Taxonomy 207U00000X · Licence 45120 (AZ)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 45120 (AZ)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 45120 (AZ)

Record details

NPI number1215176078
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 18, 2009
Last updated in NPPESAugust 27, 2018
Mailing address676 N Saint Clair St Ste 800, Chicago, IL 60611-2978

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2004 (22 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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