EDGEBROOK OPEN MRI INC; NPI #1851649974

Contact Information

EDGEBROOK OPEN MRI INC

5320 W DEVON AVE
CHICAGO, IL 60646-4108

Phone: 773-774-6440
Fax: 773-774-4372
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 EDGEBROOK OPEN MRI INC

NPI Number	`1851649974`
LBN Legal business name	EDGEBROOK OPEN MRI INC
Authorized official	TERRI NASSAR - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/21/2012
Last updated	08/21/2012 - 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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EDGEBROOK OPEN MRI INC

Contact Information

Specialty

Radiology

NPI Profile & details for EDGEBROOK OPEN MRI INC

Reviews for EDGEBROOK OPEN MRI INC