| Organization Name: | ELK GROVE MRI INC. |
| NPI Number: | 1043245285 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LILLIAN IRIS YUQUILIMA (BILLING MANAGER) |
| Mailing Address: | 901 Biesterfield Rd Ste 110 Elk Grove Village |
| State: | IL US |
| Postal Code: | 600073393 |
| Phone Number: | 8473579300 |
| Fax Number: | 8473570800 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 09/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |