EDGEBROOK RADIOLOGY MANAGEMENT SERVICES INC NPI 1538350681

NPI Information

  • NPI: 1538350681
  • Provider Name: EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC
  • Classification: Clinic/Center - 261QR0200X
  • Specialization: Radiology
  • Entity Type: Organization
  • Doing Business As: MATTESON MRI
  • Address: 4801 SOUTHWICK DR
    SUITE 101
    MATTESON, IL
    ZIP 60443
  • Phone: (708) 481-9300

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NPI Details

EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC is a radiology clinic center in Matteson, IL. EDGEBROOK RADIOLOGY MANAGEMENT SERVICES, INC NPI is 1538350681. The provider is registered as an organization entity type.
The provider Is Doing Business As Matteson Mri.

The provider's business location address is:

4801 SOUTHWICK DR
SUITE 101
MATTESON, IL
ZIP 60443-254
Phone: (708) 481-9300
Fax: (708) 491-9320

The provider's authorized official is Ann Kaczor .
The authorized official title is Billing Manager and has the following contact phone number (847) 870-3600.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.

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/CenterRadiologyYes

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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