OPEN ADVANCED MRI OF ROUND LAKE LLC NPI 1285699033

NPI Information

  • NPI: 1285699033
  • Provider Name: OPEN ADVANCED MRI OF ROUND LAKE, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 720 E ROLLINS RD
    ROUND LAKE BEACH, IL
    ZIP 60073
  • Phone: (847) 546-3600

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NPI Details

OPEN ADVANCED MRI OF ROUND LAKE, LLC is a diagnostic radiology radiology in Round Lake Beach, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OPEN ADVANCED MRI OF ROUND LAKE, LLC NPI is 1285699033. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 E ROLLINS RD
ROUND LAKE BEACH, IL
ZIP 60073-340
Phone: (847) 546-3600
Fax: (847) 546-3633

The provider's authorized official is Mary Pat Houlihan .
The authorized official title is Director and has the following contact phone number (847) 546-3600.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 8/22/2020.

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 RadiologyILLINOISYes

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
1DB1792OTHERILLINOISRAILROAD MEDICARE
204932279OTHERILLINOISBLUE SHIELD

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: 3/30/2025

NPI Synchronization or Removal

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