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4365 ARCHER MRI LLC NPI 1265765218


NPI Information

NPI: 1265765218
Provider Name: 4365 ARCHER MRI, LLC

Doing Business As: ARCHER OPEN MRI

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

Specialization: Magnetic Resonance Imaging (MRI)

Address:
4365 SOUTH ARCHER AVENUE
CHICAGO, IL
ZIP 60632
Phone: (773) 299-1071
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4365 ARCHER MRI, LLC is a magnetic resonance imaging (mri) clinic center in Chicago, IL. 4365 ARCHER MRI, LLC NPI is 1265765218. The provider is registered as an organization entity type.
The provider Is Doing Business As Archer Open Mri.

The provider's business location address is:

4365 SOUTH ARCHER AVENUE
CHICAGO, IL
ZIP 60632
Phone: (773) 299-1071
Fax: (773) 299-1074

The provider's authorized official is Marvin E. Tazelaar .
The authorized official title is Manager and has the following contact phone number (773) 299-1071.

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


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiology1959633ILLINOISNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)1959633ILLINOISYes

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: 11/14/2023

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