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PREMIER HEALTH SERVICES INC NPI 1316949886


NPI Information

NPI: 1316949886
Provider Name: PREMIER HEALTH SERVICES, INC

Doing Business As: MRI OF RIVER NORTH

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

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 14D2015856

Address:
559 WEST KINZIE
CHICAGO, IL
ZIP 60654
Phone: (312) 335-1155
Get Directions

PREMIER HEALTH SERVICES, INC is a magnetic resonance imaging (mri) clinic center in Chicago, IL. PREMIER HEALTH SERVICES, INC NPI is 1316949886. The provider is registered as an organization entity type.
The provider Is Doing Business As Mri Of River North.

The provider's business location address is:

559 WEST KINZIE
CHICAGO, IL
ZIP 60654
Phone: (312) 335-1155
Fax: (312) 335-9098

The provider's authorized official is Clerissa Hadley .
The authorized official title is Regional Director Of Network Develo and has the following contact phone number (972) 215-7410.

The CLIA number assigned to this NPI record is 14D2015856 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2005 and was last updated on 1/12/2018.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1574840OTHERMEDICARE PTAN
2=========-003MEDICAIDILLINOIS

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

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.