Organization Name: | NE ILLINOIS MRI |
NPI Number: | 1093896110 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD J. NADROWSKI (CEO) |
Mailing Address: | 1304 S. Milwaukee Ave. Vernon Hills |
State: | IL US |
Postal Code: | 60061 |
Phone Number: | 8476344674 |
Fax Number: | 8476349227 |
NPI Enumeration Date: | 10/17/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |