Open Advanced Mri Of Lincoln Park, Llc

LBN: Open Advanced Mri Of Lincoln Park, Llc
Open Advanced Mri Of Lincoln Park, Llc is an health care organization with primary practice located at 1355 W Fullerton Ave , Chicago IL 60614-2134. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Open Advanced Mri Of Lincoln Park, Llc can be contacted via phone (773) 929-9500, or through Robinson, Jeffrey via phone (773) 929-9500.

Contact Information

Primary practice address
1355 W Fullerton Ave Chicago IL 60614-2134
Fax: (773) 929-9544
Website:
Authorized official contact:
Name: Robinson, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X Illinois

Profile Details

NPI number 1144285990
LBN Legal business name Open Advanced Mri Of Lincoln Park, Llc
DBA Doing business as
Authorized official Robinson, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144285990 NPPES
Illinois Other 01634366 BLUE SHIELD
Illinois Other DC7354 BLUE SHIELD

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