| Organization Name: | CORPORATE WOODS OPEN MRI |
| NPI Number: | 1043472020 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOANNE L. DEGENNARO (BUSINESS OFFICE ADMINISTRATOR) |
| Mailing Address: | 555 Corporate Woods Pkwy Vernon Hills |
| State: | IL US |
| Postal Code: | 600613111 |
| Phone Number: | 8476349400 |
| Fax Number: | 8476342900 |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |