BUCKTOWN OPEN MRI, LLC; NPI #1023444890

Contact Information

BUCKTOWN OPEN MRI, LLC

1717 N ASHLAND AVE
CHICAGO, IL 60622-1449

Phone: 773-772-9988
Fax: 773-772-9989
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Magnetic Resonance Imaging (MRI)	261QM1200X
Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for BUCKTOWN OPEN MRI, LLC

NPI Number	`1023444890`
LBN Legal business name	BUCKTOWN OPEN MRI, LLC
Authorized official	EDWIN SAGE - (MEMBER MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/24/2013
Last updated	09/26/2013 - About 13 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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