4365 ARCHER MRI LLC NPI 1265765218

NPI Information

  • NPI: 1265765218
  • Provider Name: 4365 ARCHER MRI, LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • Doing Business As: ARCHER OPEN MRI
  • Address: 4365 SOUTH ARCHER AVENUE
    CHICAGO, IL
    ZIP 60632
  • Phone: (773) 299-1071

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0200XClinic/CenterRadiology1959633ILLINOISNo
2261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)1959633ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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