Active NPI 1093100554 Individual Practitioner Male Practitioner

Dr. Nicholas Florence , MD

Radiology - Diagnostic Radiology • Normal, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Florence, MD is a certified Radiology - Diagnostic Radiology practicing in Normal, IL. With approximately 11 years of clinical experience since graduating from Medical College Of Wisconsin in 2015, Dr. Florence delivers high-quality medical care to the local community at 1300 FRANKLIN AVE.

Dr. Florence maintains professional affiliations with Carle West Physician Group Inc, Carle Health Care Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include x-ray of chest, 1 view, x-ray of chest, 2 views, ct scan of abdomen and pelvis with contrast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Franklin Ave

Normal, IL 617613592

Telephone 3094541400

Associated Practice Facility / Clinic

🏢 Bromenn Healthcare Hospitals Facility NPI 1396780854

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Normal, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -13.3 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

15 Specialists

Practicing in Normal, IL (1956 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

91.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Florence (11 Years) 11 Yrs

Normal Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
71045 X-ray of chest, 1 view	593	485	$132.34	$8.11
71046 X-ray of chest, 2 views	246	229	$110.51	$10.02
74177 Ct scan of abdomen and pelvis with contrast	236	208	$1375.36	$81.87
71250 Ct scan of chest without contrast	171	159	$706.52	$48.91
77063 Screening digital tomography of both breasts	141	141	$830.00	$26.92
77067 Screening mammography	141	141	$230.00	$34.30
71260 Ct scan of chest with contrast	131	114	$817.98	$51.19
70450 Ct scan head or brain without contrast	104	101	$800.48	$37.63
71271 Low dose ct scan of chest for lung cancer screening	94	94	$564.89	$49.14
74176 Ct scan of abdomen and pelvis without contrast	87	85	$1554.25	$79.03
71275 Ct scan of blood vessels of chest with contrast	86	83	$1206.80	$82.37
74183 Mri scan of abdomen before and after contrast	85	76	$1570.35	$99.32
73560 X-ray of knee, 1-2 views	84	79	$75.29	$7.76
73030 X-ray of shoulder, minimum of 2 views	81	72	$136.83	$8.72
73502 X-ray of hip, 2-3 views	74	71	$105.57	$10.32
74018 X-ray of abdomen, 1 view	70	64	$85.59	$8.43
77080 Dxa bone density measurement of hip, pelvis, spine	67	67	$310.00	$8.98
76705 Limited ultrasound scan of abdomen	61	59	$253.61	$26.46
76536 Ultrasound of head and neck	59	58	$230.17	$25.65
73562 X-ray of knee, 3 views	59	46	$86.86	$8.72
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	52	49	$185.77	$20.28
93970 Ultrasound study of arm or leg veins with compression and maneuvers	52	52	$301.54	$31.92
71046 X-ray of chest, 2 views	49	48	$172.61	$30.66
76770 Complete ultrasound scan behind abdominal cavity	46	46	$304.35	$33.51
73700 Ct scan of leg without contrast	45	39	$542.22	$44.88
73130 X-ray of hand, minimum of 3 views	44	31	$178.02	$33.60
72170 X-ray of pelvis, 1-2 views	39	38	$86.38	$8.09
73721 Mri scan of leg joint without contrast	39	39	$1163.85	$60.64
73110 X-ray of wrist, minimum of 3 views	34	32	$77.59	$8.10
74230 Imaging for evaluation of swallowing function	34	34	$174.12	$24.32
73630 X-ray of foot, minimum of 3 views	33	31	$84.97	$7.80
73221 Mri scan of arm joint without contrast	28	28	$1210.00	$61.36
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$140.78	$10.31
73610 X-ray of ankle, minimum of 3 views	27	25	$85.85	$8.10
72125 Ct scan of upper spine without contrast	27	27	$807.78	$44.52
73200 Ct scan of arm without contrast	26	26	$585.00	$45.27
73130 X-ray of hand, minimum of 3 views	25	23	$73.92	$8.09
73501 X-ray of hip with pelvis, 1 view	25	25	$84.40	$8.73
93925 Ultrasound of leg arteries or artery grafts	21	20	$280.00	$36.54
73630 X-ray of foot, minimum of 3 views	21	20	$175.00	$31.62
93922 Ultrasound study of arm and leg arteries	21	20	$108.00	$11.64
73221 Mri scan of arm joint without contrast	20	19	$1130.00	$188.86
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$1658.42	$90.88
76376 3d radiographic procedure	19	19	$500.63	$9.06
73564 X-ray of knee, 4 or more views	19	12	$220.00	$43.43
73552 X-ray of thigh bone, minimum 2 views	19	17	$76.63	$8.42
74174 Ct scan of blood vessels of abdomen and pelvis with contrast	18	18	$1540.56	$99.63
73502 X-ray of hip, 2-3 views	16	16	$214.75	$41.57
73562 X-ray of knee, 3 views	15	13	$200.00	$37.57
73590 X-ray of lower leg, 2 views	15	14	$75.87	$7.46
73030 X-ray of shoulder, minimum of 2 views	15	13	$166.80	$30.64
78830 Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging	14	14	$811.79	$63.84
73718 Mri scan of leg without contrast	14	14	$761.43	$59.07
73721 Mri scan of leg joint without contrast	14	14	$1130.00	$185.20
51600 Injection procedure for X-ray imaging of the bladder or during voiding	14	14	$882.86	$41.91
76700 Ultrasound of abdomen	13	13	$372.31	$36.61
73610 X-ray of ankle, minimum of 3 views	12	12	$180.00	$33.79
73723 MRI scan of leg joint before and after contrast	12	12	$1328.33	$97.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,375	14	$0.87	$0.17
A9577 Injection, gadobenate dimeglumine (multihance), per ml	537	30	$7.90	$1.81
71045 X-ray of chest, 1 view	500	420	$78.21	$8.70
71046 X-ray of chest, 2 views	160	155	$74.91	$10.29
77067 Screening mammography	133	133	$297.85	$118.19
77063 Screening digital tomography of both breasts	133	133	$124.47	$49.78
77067 Screening mammography	131	131	$198.12	$36.26
77063 Screening digital tomography of both breasts	130	130	$287.08	$28.96
74177 Ct scan of abdomen and pelvis with contrast	122	114	$871.87	$86.55
77080 Dxa bone density measurement of hip, pelvis, spine	90	90	$161.61	$9.41
71250 Ct scan of chest without contrast	77	74	$475.97	$50.64
71260 Ct scan of chest with contrast	69	64	$553.48	$53.32
73502 X-ray of hip, 2-3 views	68	65	$70.43	$10.70
74018 X-ray of abdomen, 1 view	63	56	$56.56	$8.72
71275 Ct scan of blood vessels of chest with contrast	55	54	$784.51	$86.07
73560 X-ray of knee, 1-2 views	55	51	$58.00	$8.04
77080 Dxa bone density measurement of hip, pelvis, spine	52	52	$223.83	$26.88
74176 Ct scan of abdomen and pelvis without contrast	48	46	$835.50	$82.88
73721 Mri scan of leg joint without contrast	48	45	$854.85	$64.05
73562 X-ray of knee, 3 views	45	38	$66.42	$9.03
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	43	$146.07	$21.36
71046 X-ray of chest, 2 views	43	42	$137.86	$27.93
70450 Ct scan head or brain without contrast	42	41	$532.50	$39.16
76642 Limited ultrasound scan of 1 breast	37	36	$399.00	$102.52
73630 X-ray of foot, minimum of 3 views	36	32	$62.58	$8.07
74183 Mri scan of abdomen before and after contrast	35	32	$1141.43	$103.69
76705 Limited ultrasound scan of abdomen	34	33	$179.41	$28.16
72100 X-ray of lower and sacral spine, 2-3 views	33	30	$87.12	$10.70
76536 Ultrasound of head and neck	33	33	$183.94	$27.26
73030 X-ray of shoulder, minimum of 2 views	33	32	$71.64	$9.03
71271 Low dose ct scan of chest for lung cancer screening	30	30	$419.00	$51.41
73700 Ct scan of leg without contrast	28	25	$361.64	$46.69
93970 Ultrasound study of arm or leg veins with compression and maneuvers	26	26	$212.69	$33.21
76770 Complete ultrasound scan behind abdominal cavity	24	24	$224.79	$34.86
73130 X-ray of hand, minimum of 3 views	23	15	$49.74	$8.38
72170 X-ray of pelvis, 1-2 views	21	20	$59.05	$8.38
73564 X-ray of knee, 4 or more views	21	20	$72.86	$11.01
76770 Complete ultrasound scan behind abdominal cavity	19	19	$416.42	$96.98
73610 X-ray of ankle, minimum of 3 views	18	18	$71.78	$8.38
73590 X-ray of lower leg, 2 views	18	16	$56.78	$7.72
72197 Mri scan of pelvis before and after contrast	17	17	$3923.00	$323.15
73630 X-ray of foot, minimum of 3 views	17	16	$144.47	$25.40
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	16	16	$173.13	$28.94
73221 Mri scan of arm joint without contrast	16	16	$448.50	$58.69
73720 Mri scan of leg before and after contrast	16	13	$994.81	$98.78
76700 Ultrasound of abdomen	15	15	$272.67	$38.24
73552 X-ray of thigh bone, minimum 2 views	15	14	$47.60	$8.72
76705 Limited ultrasound scan of abdomen	15	15	$308.73	$79.48
73110 X-ray of wrist, minimum of 3 views	15	14	$54.20	$8.38
74183 Mri scan of abdomen before and after contrast	14	14	$3923.00	$330.49
74177 Ct scan of abdomen and pelvis with contrast	14	14	$1830.86	$262.45
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	13	13	$213.00	$50.30
76641 Complete ultrasound scan of 1 breast	13	13	$365.85	$49.66
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	12	12	$3772.00	$1447.38
78830 Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging	12	12	$668.33	$67.16
72040 X-ray of upper spine, 2-3 views	12	11	$84.33	$10.70
77065 Diagnostic mammography of 1 breast	12	12	$203.17	$38.24
74018 X-ray of abdomen, 1 view	12	12	$77.83	$16.98
78306 Nuclear medicine study of bone and/or joint whole body	11	11	$252.73	$39.76
72197 Mri scan of pelvis before and after contrast	11	11	$830.91	$103.52
73080 X-ray of elbow, minimum of 3 views	11	11	$64.36	$7.73
73200 Ct scan of arm without contrast	11	11	$388.73	$43.81
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1207.45	$94.93
76642 Limited ultrasound scan of 1 breast	11	11	$187.64	$34.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	8,775	88	$0.87	$0.12
A9577 Injection, gadobenate dimeglumine (multihance), per ml	853	53	$7.90	$1.85
77067 Screening mammography	689	689	$292.74	$119.13
77063 Screening digital tomography of both breasts	685	685	$123.45	$50.31
71045 X-ray of chest, 1 view	330	287	$50.00	$8.83
77067 Screening mammography	209	209	$157.00	$36.66
77063 Screening digital tomography of both breasts	205	205	$90.00	$29.50
77080 Dxa bone density measurement of hip, pelvis, spine	182	182	$275.68	$32.79
A9595 Piflufolastat f-18, diagnostic, 1 millicurie	135	13	$547.00	$540.48
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	117	13	$5.00	$1.17
76642 Limited ultrasound scan of 1 breast	103	97	$394.79	$104.59
76641 Complete ultrasound scan of 1 breast	92	87	$557.77	$143.15
71046 X-ray of chest, 2 views	77	76	$55.00	$10.55
70450 Ct scan head or brain without contrast	76	73	$177.00	$39.83
71046 X-ray of chest, 2 views	71	71	$91.72	$20.77
74177 Ct scan of abdomen and pelvis with contrast	62	60	$504.00	$87.93
74177 Ct scan of abdomen and pelvis with contrast	57	57	$2052.00	$304.14
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	54	51	$211.46	$51.02
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	54	54	$499.00	$114.62
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	52	51	$3772.00	$1476.93
74018 X-ray of abdomen, 1 view	46	45	$51.89	$12.86
74018 X-ray of abdomen, 1 view	43	41	$38.00	$8.71
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	43	42	$725.00	$328.05
77065 Diagnostic mammography of 1 breast	40	33	$364.98	$119.38
71260 Ct scan of chest with contrast	39	38	$256.00	$53.73
73630 X-ray of foot, minimum of 3 views	37	32	$57.19	$14.98
74176 Ct scan of abdomen and pelvis without contrast	37	36	$472.00	$83.66
71250 Ct scan of chest without contrast	35	35	$240.00	$51.33
76641 Complete ultrasound scan of 1 breast	35	29	$245.26	$46.75
71275 Ct scan of blood vessels of chest with contrast	35	35	$391.00	$87.11
73502 X-ray of hip, 2-3 views	34	34	$45.00	$10.88
73030 X-ray of shoulder, minimum of 2 views	29	26	$46.00	$9.17
73221 Mri scan of arm joint without contrast	28	28	$274.00	$63.67
74176 Ct scan of abdomen and pelvis without contrast	27	27	$1656.89	$170.36
77066 Diagnostic mammography of both breasts	26	26	$425.00	$153.55
73564 X-ray of knee, 4 or more views	23	16	$62.96	$16.71
73630 X-ray of foot, minimum of 3 views	22	22	$38.00	$8.22
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	22	22	$130.00	$29.55
72125 Ct scan of upper spine without contrast	22	22	$240.00	$47.69
71260 Ct scan of chest with contrast	21	21	$1255.00	$142.77
76770 Complete ultrasound scan behind abdominal cavity	20	20	$306.35	$74.53
76642 Limited ultrasound scan of 1 breast	19	19	$139.00	$32.86
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	19	14	$295.00	$98.01
77065 Diagnostic mammography of 1 breast	19	19	$169.00	$39.06
73502 X-ray of hip, 2-3 views	18	18	$91.67	$26.12
72100 X-ray of lower and sacral spine, 2-3 views	18	17	$48.00	$10.87
76705 Limited ultrasound scan of abdomen	18	16	$310.94	$79.39
73030 X-ray of shoulder, minimum of 2 views	18	16	$78.89	$19.87
73560 X-ray of knee, 1-2 views	17	17	$38.00	$8.19
76536 Ultrasound of head and neck	17	17	$280.12	$94.47
74183 Mri scan of abdomen before and after contrast	17	15	$3923.00	$346.16
73562 X-ray of knee, 3 views	17	17	$42.00	$9.19
72197 Mri scan of pelvis before and after contrast	17	17	$3719.29	$319.00
73110 X-ray of wrist, minimum of 3 views	17	16	$36.00	$8.49
76705 Limited ultrasound scan of abdomen	17	17	$123.00	$27.30
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$67.00	$9.56
73721 Mri scan of leg joint without contrast	15	15	$1635.00	$178.34
71250 Ct scan of chest without contrast	15	14	$852.33	$109.04
72020 X-ray of spine, 1 view	15	11	$32.00	$7.85
77049 Mri of both breasts with and without contrast	14	14	$1542.00	$350.40
73700 Ct scan of leg without contrast	14	14	$724.57	$106.97
73721 Mri scan of leg joint without contrast	14	14	$374.00	$65.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$97.00	$21.65
73610 X-ray of ankle, minimum of 3 views	14	14	$38.00	$8.51
72170 X-ray of pelvis, 1-2 views	13	13	$37.00	$8.53
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$559.46	$108.66
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	13	13	$1905.00	$501.49
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$1984.25	$285.14
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$150.00	$32.15
73700 Ct scan of leg without contrast	11	11	$226.00	$48.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,600	46	$0.87	$0.12
A9577 Injection, gadobenate dimeglumine (multihance), per ml	636	33	$7.90	$1.87
71045 X-ray of chest, 1 view	184	159	$50.00	$8.92
77067 Screening mammography	154	154	$243.36	$90.37
77063 Screening digital tomography of both breasts	152	152	$111.41	$43.80
77067 Screening mammography	138	138	$157.00	$37.08
77063 Screening digital tomography of both breasts	137	137	$90.00	$29.59
78815 Nuclear medicine study from skull base to mid-thigh with ct scan	58	55	$1684.05	$603.95
71046 X-ray of chest, 2 views	43	42	$93.58	$21.09
74177 Ct scan of abdomen and pelvis with contrast	43	42	$1296.00	$198.31
74018 X-ray of abdomen, 1 view	43	42	$38.00	$8.92
71260 Ct scan of chest with contrast	42	40	$589.00	$83.61
70450 Ct scan head or brain without contrast	40	39	$177.00	$40.25
74177 Ct scan of abdomen and pelvis with contrast	31	29	$504.00	$88.08
71275 Ct scan of blood vessels of chest with contrast	30	30	$391.00	$87.46
74018 X-ray of abdomen, 1 view	30	25	$38.00	$8.92
71046 X-ray of chest, 2 views	26	26	$55.00	$10.63
76641 Complete ultrasound scan of 1 breast	25	25	$290.08	$52.39
76641 Complete ultrasound scan of 1 breast	24	22	$570.17	$144.50
77080 Dxa bone density measurement of hip, pelvis, spine	22	22	$268.23	$32.52
77065 Diagnostic mammography of 1 breast	20	19	$169.00	$39.14
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries	19	18	$725.00	$320.20
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	18	18	$130.00	$29.59
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	17	$542.33	$106.18
73560 X-ray of knee, 1-2 views	17	14	$38.00	$8.22
73502 X-ray of hip, 2-3 views	16	15	$90.94	$25.47
71250 Ct scan of chest without contrast	15	15	$796.67	$103.42
72197 Mri scan of pelvis before and after contrast	15	15	$3923.00	$362.71
73221 Mri scan of arm joint without contrast	15	14	$1725.33	$198.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$150.00	$33.49
74176 Ct scan of abdomen and pelvis without contrast	13	12	$472.00	$84.47
76536 Ultrasound of head and neck	13	13	$240.15	$79.04
76770 Complete ultrasound scan behind abdominal cavity	12	12	$246.33	$59.75
73721 Mri scan of leg joint without contrast	12	11	$1829.00	$200.18
72125 Ct scan of upper spine without contrast	12	12	$240.00	$47.60
71260 Ct scan of chest with contrast	12	11	$256.00	$55.05
74176 Ct scan of abdomen and pelvis without contrast	11	11	$1199.09	$136.87
76705 Limited ultrasound scan of abdomen	11	11	$303.91	$81.95
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$1416.09	$213.72
76700 Ultrasound of abdomen	11	11	$396.64	$102.48
76705 Limited ultrasound scan of abdomen	11	11	$123.00	$28.66
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$97.00	$21.81

Medical Specialties & State Licenses

CMS Verified: 2025-11-06

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License IL 036151532

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Hospital & Practice Group Affiliations

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Carle Health Care Incorporated

3024 E Empire St, Bloomington, IL 617045402

Carle West Physician Group Inc

2204 Eastland Dr, Bloomington, IL 617043567

Phone: 3096630222

Carle West Physician Group Inc

911 S Chestnut St, Le Roy, IL 617521894

Phone: 3099622035

Carle Health Care Incorporated

101 S Major St, Eureka, IL 615301246

Phone: 3093042128

Carle West Physician Group Inc

101 S Major St, Eureka, IL 615301246

Phone: 3093042128

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle West Physician Group Inc

3024 E Empire St, Bloomington, IL 617045402

Carle Health Care Incorporated

911 S Chestnut St, Le Roy, IL 617521894

Phone: 3099622035

Secondary Practice Locations

2650 Ridge Ave., Dept. Of Radiology

Evanston, IL 60201

Phone: 8475702475

5841 S Maryland Ave, M/c 2026

Chicago, IL 606371447

Phone: 7737023550

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners

Dr. Julie Lewis , MD

Emergency Medicine

NPI 1013068667

Doctor of Medicine (M.D.)

Elizabeth Madlem , APRN, CNP

Nurse Practitioner - Family

NPI 1033543822

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Ann Schoen , CRNA

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043551856

Certified Registered Nurse Anesthetist

Dr. Stephanie Sullivan , MD

Emergency Medicine

NPI 1073952396

Doctor of Medicine (M.D.)

Dodi Suhari , CRNA

Nurse Anesthetist, Certified Registered

NPI 1083043483

Certified Registered Nurse Anesthetist

Dr. Ibrahim Mustafa , DO

Psychiatry & Neurology - Neurology

NPI 1134650658

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Business Mailing Address November 06, 2025

Registered at 611 W PARK ST, URBANA, IL 618012501

📍

Updated Practice Location February 16, 2024

Registered at 1300 FRANKLIN AVE, NORMAL, IL 617613592 (Tel: 3094541400)

📍

Updated Business Mailing Address February 16, 2024

Registered at 611 W PARK ST, FAPC, URBANA, IL 618012500

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2020

Radiology (License #036151532 in IL)

📍

Updated Practice Location March 17, 2020

Registered at 2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201 (Tel: 8475702475)

📍

Updated Business Mailing Address March 17, 2020

Registered at 2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201 (Tel: 8475702475)

✅

NPI Profile Active June 15, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 15, 2016

Registered at 5841 S MARYLAND AVE, M/C 2026, CHICAGO, IL 606371447 (Tel: 7737023550)

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Updated Business Mailing Address June 15, 2016

Registered at 180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 605277594 (Tel: 7737021150)

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Provider Name / Credentials Updated June 15, 2016

Recorded as NICHOLAS FLORENCE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2016

Radiology (License #125067926 in IL)

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Initial NPI Registration & Enumeration April 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093100554

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 01, 2015

Last Update: November 06, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

611 W Park St

Urbana, IL 618012501

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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