National Provider Identifier Database

BERWYN DIAGNOSTIC IMAGING LLC
Magnetic Resonance Imaging (MRI)


Contact Information

BERWYN DIAGNOSTIC IMAGING LLC
6728 CERMAK RD
BERWYN, IL60402-2217
Phone: 708-788-8900
Fax:
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X
Radiology 261QR0200X

* Indicates primary specialty

NPI Profile & details for BERWYN DIAGNOSTIC IMAGING LLC

NPI Number 1720539646
Legal business name
LBN
BERWYN DIAGNOSTIC IMAGING LLC
Authorized official BRENT COAN - (PARTNER)
Entity Organization
Organization subpart No
Enumeration date 10/14/2016
Last updated 10/14/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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