Bucktown Open Mri, Llc

NPI 1023444890 - Clinic/Center - 261QR0200X

NPI Details
NPI 1023444890
Enumeration Date 09/24/2013
Last Updated 09/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name EDWIN EDWIN
Position MEMBER MANAGER
Phone (773) 772-9988
Fax (773) 772-9989
Practice Location
1717 N ASHLAND AVE
CHICAGO IL, 60622-1449, US
Phone (773) 772-9988
Fax (773) 772-9989
Business Location
1717 N ASHLAND AVE
CHICAGO IL, 60622-1449, US
Phone (773) 772-9988
Fax (773) 772-9989
Toxanomy
Taxonomy Code 261QR0200X
License State
License Number
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According to our database, Bucktown Open Mri, Llc NPI is 1023444890, taxonomy code is 261QR0200X Bucktown Open Mri, Llc physically located at 1717 N Ashland Ave, Chicago IL, 60622-1449. NPI Number 1033115704 has the healthcare provider type.

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1023444890 NPI number is provided on an as is basis without warranty of any kind. 1023444890 is maintained by the National Plan & Provider Enumeration System. The contents of Bucktown Open Mri, Llc are for informational purposes only.