Organization Name: | OPEN ADVANCED MRI OF CRYSTAL LAKE, LLC |
NPI Number: | 1093770851 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY PAT HOULIHAN (DIRECTOR) |
Mailing Address: | 820 E Terra Cotta Ave Suite 136 Crystal Lake |
State: | IL US |
Postal Code: | 600143649 |
Phone Number: | 8154441330 |
Fax Number: | 8154441279 |
NPI Enumeration Date: | 04/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |