Archer Kedzie Imaging

LBN: Archer Kedzie Imaging Llc
Archer Kedzie Imaging is an health care organization with primary practice located at 4365 S Archer Ave , Chicago IL 60632-2826. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty. Archer Kedzie Imaging Llc can be contacted via phone (773) 299-1070, or through Tazelaar, Marvin E. via phone (773) 299-1070.

Contact Information

Primary practice address
4365 S Archer Ave Chicago IL 60632-2826
Phone: (773) 299-1070
Fax: (773) 299-1075
Website:
Map and Directions
Authorized official contact:
Name: Tazelaar, Marvin E.
Phone: (773) 299-1070

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 1964943 Illinois
Ambulatory Health Care Facilities / Radiology 261QR0200X 1964943 Illinois

Profile Details

NPI number 1881827251
LBN Legal business name Archer Kedzie Imaging Llc
DBA Doing business as Archer Kedzie Imaging
Authorized official Tazelaar, Marvin E.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2009
Last updated Sep 1st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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