Individual Healthcare Provider
Andrew Tannenbaum, M.D.
Provider's NPPES record last updated: April 1, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1972867315
- Primary Specialty
- Radiology — Vascular & Interventional Radiology
- Practice Location
- Harvard, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:30 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Radiology
Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Taxonomy code 2085R0204X Radiology
Diagnostic Radiology
Allopathic & Osteopathic Physicians
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Taxonomy code 2085R0202XInternal Medicine
Allopathic & Osteopathic Physicians
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Taxonomy code 207R00000X
Provider-Reported License Information
- Radiology (Illinois)
- 036147111
- Radiology (Massachusetts)
- 252241
- Internal Medicine (Massachusetts)
- 252241
Practice Locations
Practice Location
901 Grant St
Harvard, Illinois 60033-1821
Phone: (815) 943-5431
Additional Practice Location
1 Boston Medical Ctr Pl
Dept of Radiology - Fgh Bldg
Boston, Massachusetts 02118-2908
Phone: (617) 638-8000
Additional Practice Location
1045 W Stephenson St
Freeport, Illinois 61032-4864
Phone: (815) 599-6000
Fax: (815) 599-7974
Additional Practice Location
1045 W Stephenson St
Freeport, Illinois 61032-4864
Phone: (815) 599-6000
Fax: (815) 599-7974
Additional Practice Location
875 South Route 31
Crystal Lake, Illinois 60014
Phone: (779) 220-5500
Additional Practice Location
2000 Lake Ave
Woodstock, Illinois 60098-7401
Phone: (815) 337-7100
Fax: (815) 337-4793
Additional Practice Location
3922 Mercy Dr
Mchenry, Illinois 60050-3179
Phone: (815) 344-4499
Fax: (815) 344-4779
Additional Practice Location
8201 E Riverside Blvd
Rockford, Illinois 61114-2300
Phone: (815) 971-5000
Record Information
- Enumeration Date
- June 29, 2012
- Provider's NPPES Record Last Updated
- April 1, 2026
- Certification Date
- April 1, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue