LAKE ZURICH OPEN MRI LLC NPI 1790944197

NPI Information

NPI: 1790944197
Provider Name: LAKE ZURICH OPEN MRI, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
721 W HIGHWAY 22
LAKE ZURICH, IL
ZIP 60047
Phone: (847) 726-0674
Get Directions

LAKE ZURICH OPEN MRI, LLC is a magnetic resonance imaging (mri) clinic center in Lake Zurich, IL. LAKE ZURICH OPEN MRI, LLC NPI is 1790944197. The provider is registered as an organization entity type.

The provider's business location address is:

721 W HIGHWAY 22
LAKE ZURICH, IL
ZIP 60047-552
Phone: (847) 726-0674
Fax: (847) 726-0675

The provider's authorized official is Edwin C Sage .
The authorized official title is Member Manager and has the following contact phone number (877) 444-4540.

The enumeration date for this NPI number is 6/2/2008 and was last updated on 11/16/2012.

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
1	261QM1200X	Clinic/Center	Magnetic 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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL2115	MEDICARE PIN	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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