| Organization Name: | OPEN MRI OF ELK GROVE, LLC |
| NPI Number: | 1043641715 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN DUYM (MANAGER) |
| Mailing Address: | 134 Biesterfield Rd Elk Grove Village |
| State: | IL US |
| Postal Code: | 600073657 |
| Phone Number: | 8478527800 |
| Fax Number: | 8478537777 |
| NPI Enumeration Date: | 12/06/2013 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |