Open Advanced Mri Of Crystal Lake, Llc in Crystal Lake - Diagnostic Radiology
Open Advanced Mri Of Crystal Lake, Llc - NPI 1093770851
Open Advanced Mri Of Crystal Lake, Llc is a Diagnostic Radiology in Crystal Lake, Illinois. Open Advanced Mri Of Crystal Lake, Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Open Advanced Mri Of Crystal Lake, Llc is 1093770851. The last update date is 2020-08-22.
Open Advanced Mri Of Crystal Lake, Llc's current location address is 820 E Terra Cotta Ave, Crystal Lake, Illinois. You can contact this provider via phone number 8154441330 and fax number 8154441279. The mailing address for Open Advanced Mri Of Crystal Lake, Llc is 820 E Terra Cotta Ave, Crystal Lake, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Open Advanced Mri Of Crystal Lake, Llc |
|---|---|
| Address | 820 E Terra Cotta Ave, Crystal Lake, Illinois |
| Phone Number | 8154441330 |
| Fax Number | 8154441279 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Houlihan Pat Mary |
| Telephone Number | 8154441330 |
NPI Number Detail
| NPI Number | 1093770851 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 820 E Terra Cotta Ave |
|---|---|
| City | Crystal Lake |
| State | Illinois (IL) |
| Post Code | 600143649 |
| Phone Number | 8154441330 |
| Fax Number | 8154441279 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CK3870 | IL | RAILROAD MEDICARE | |
| 5630041 | IL | BLUE SHIELD |
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What is the unique 10-digit identification code issued to Open Advanced Mri Of Crystal Lake, Llc by the Centers for Medicare & Medicaid Services?
The Open Advanced Mri Of Crystal Lake, Llc has been assigned the NPI (National Provider Identifier) 1093770851 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Open Advanced Mri Of Crystal Lake, Llc's physical address?
The Open Advanced Mri Of Crystal Lake, Llc is physically located at 820 E Terra Cotta Ave, in the city of Crystal Lake, IL, with the postal code 600143649.
What is Open Advanced Mri Of Crystal Lake, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Open Advanced Mri Of Crystal Lake, Llc is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Open Advanced Mri Of Crystal Lake, Llc receive its 1093770851 assignment from the Centers for Medicare & Medicaid Services?
The Open Advanced Mri Of Crystal Lake, Llc was assigned its 1093770851 by the Centers for Medicare & Medicaid Services on 2006-04-17.
When was the information regarding Open Advanced Mri Of Crystal Lake, Llc most recently updated?
The details pertaining to the Open Advanced Mri Of Crystal Lake, Llc, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.