PREFERRED OPEN MRI LTD; NPI #1649374703

Contact Information

PREFERRED OPEN MRI LTD

4200 W 63RD ST
CHICAGO, IL 60629-5010

Phone: 773-581-5600
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for PREFERRED OPEN MRI LTD

NPI Number 1649374703

LBN Legal business name PREFERRED OPEN MRI LTD

Authorized official HILDA ESCAMILLA - (OFFICE ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/11/2006

Last updated 06/16/2022 - About 4 years ago

Identifiers

IL	License #	036083121
IL	Medicaid	036063273
IL	Other	1632652	BLUE CROSS BLUE SHIELD

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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