MEDICARE: LUIS ALBERTO RADAMES ESCOBAR CARRASQUERO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036154668	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036154668	IL

General Provider Information

NPI Number	:	1558723239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUIS ALBERTO RADAMES ESCOBAR CARRASQUERO M.D.

Provider Business Mailing Address
First Line	:	2650 RIDGE AVE # 1223
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-1700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S WASHINGTON ST
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-7430
Country	:	US
Telephone Number	:	630-527-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	06/02/2026

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