ARCHER KEDZIE IMAGING LLC NPI 1881827251

NPI Information

NPI: 1881827251
Provider Name: ARCHER KEDZIE IMAGING LLC

Doing Business As: ARCHER KEDZIE IMAGING

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
4365 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 299-1070
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ARCHER KEDZIE IMAGING LLC is a magnetic resonance imaging (mri) clinic center in Chicago, IL. ARCHER KEDZIE IMAGING LLC NPI is 1881827251. The provider is registered as an organization entity type.
The provider Is Doing Business As Archer Kedzie Imaging.

The provider's business location address is:

4365 S ARCHER AVE
CHICAGO, IL
ZIP 60632-826
Phone: (773) 299-1070
Fax: (773) 299-1075

The provider's authorized official is Marvin E. Tazelaar .
The authorized official title is Manager and has the following contact phone number (773) 299-1070.

The enumeration date for this NPI number is 9/1/2009 and was last updated on 9/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology	1964943	ILLINOIS	No
2	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	1964943	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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