ILLINOIS BONE AND JOINT OPEN MRI NPI 1023046448

NPI Information

ILLINOIS BONE AND JOINT OPEN MRI is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ILLINOIS BONE AND JOINT OPEN MRI NPI is 1023046448. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1717 N ASHLAND AVE
CHICAGO, IL
ZIP 60622-449
Phone: (773) 772-4203

The provider's authorized official is Wayne M. Goldstein .
The authorized official title is President and has the following contact phone number (847) 324-3976.

The CLIA number assigned to this NPI record is 14D2071747 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 1/5/2010.

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:

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