EDGEBROOK OPEN MRI INC NPI 1851649974

NPI Information

NPI: 1851649974
Provider Name: EDGEBROOK OPEN MRI INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
5320 W DEVON AVE
CHICAGO, IL
ZIP 60646
Phone: (773) 774-6440
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EDGEBROOK OPEN MRI INC is a radiology clinic center in Chicago, IL. EDGEBROOK OPEN MRI INC NPI is 1851649974. The provider is registered as an organization entity type.

The provider's business location address is:

5320 W DEVON AVE
CHICAGO, IL
ZIP 60646-108
Phone: (773) 774-6440
Fax: (773) 774-4372

The provider's authorized official is Terri Nassar .
The authorized official title is Manager and has the following contact phone number (708) 481-9300.

The enumeration date for this NPI number is 8/21/2012 and was last updated on 8/21/2012.

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	261QR0200X	Clinic/Center	Radiology			Yes

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

NPI Synchronization or Removal

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