CHICAGO NORTHSIDE HOSPITAL MRI NPI 1902956923

NPI Information

CHICAGO NORTHSIDE HOSPITAL MRI is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHICAGO NORTHSIDE HOSPITAL MRI NPI is 1902956923. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chicago Northside Mri Center.

The provider's business location address is:

1460 N HALSTED ST
SUITE 102
CHICAGO, IL
ZIP 60642-605
Phone: (773) 525-2818
Fax: (773) 525-8589

The provider's authorized official is Starr M Novak .
The authorized official title is Vp Bus. Development and has the following contact phone number (773) 594-8551.

The CLIA number assigned to this NPI record is 14D2013561 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/21/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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