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Contact Information

PRAIRIE OPEN MRI, LLC
2450 WOLF RD
UNIT C
WESTCHESTER, IL60154-5634
 Phone: 708-409-1300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for PRAIRIE OPEN MRI, LLC

NPI # 1114008000
LBN Legal business name PRAIRIE OPEN MRI, LLC
Authorized official EDWIN SAGE - (MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 01/01/2012 - About 14 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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