ILLINOIS BONE AND JOINT OPEN MRI NPI 1023046448

NPI Information

  • NPI: 1023046448
  • Provider Name: ILLINOIS BONE AND JOINT OPEN MRI
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2071747
  • Address: 1717 N ASHLAND AVE
    CHICAGO, IL
    ZIP 60622
  • Phone: (773) 772-4203

Map and Directions

Get Directions

NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.