PREFERRED OPEN MRI LTD. NPI 1205888351

NPI Information

  • NPI: 1205888351
  • Provider Name: PREFERRED OPEN MRI, LTD.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: PREFERRED IMAGING
  • Address: 4200 W 63RD ST
    CHICAGO, IL
    ZIP 60629
  • Phone: (773) 581-5600

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NPI Details

PREFERRED OPEN MRI, LTD. 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. PREFERRED OPEN MRI, LTD. NPI is 1205888351. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Preferred Imaging.

The provider's business location address is:

4200 W 63RD ST
CHICAGO, IL
ZIP 60629-010
Phone: (773) 581-5600
Fax: (773) 581-5608

The provider's authorized official is Naser Rustom .
The authorized official title is President and has the following contact phone number (773) 581-5600.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 6/16/2022.

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
12471B0102XRadiologic TechnologistBone DensitometryNo
22471N0900XRadiologic TechnologistNuclear Medicine TechnologyNo
32471C3401XRadiologic TechnologistComputed TomographyNo
42471C3402XRadiologic TechnologistRadiographyNo
52085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11632652OTHERILLINOISBCBS OF ILL PROVIDER NUMB

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

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