# DECATUR OPEN MRI, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508315086
- **Authorized official:** MR. WILLIAM CHRIS KEFALAS (ADMINISTRATOR)
- **Authorized official phone:** (217) 520-2262

## Contact information

- **Practice address:** 2905 N MAIN ST, SUITE F, DECATUR, IL 62526-4276
- **Practice address phone:** (217) 330-6930
- **Practice address fax:** (217) 791-6906
- **Mailing address:** 2905 N MAIN ST, SUITE F, DECATUR, IL 62526-4276
- **Mailing address phone:** (217) 330-6930
- **Mailing address fax:** (217) 791-6906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2016
- **Last updated:** 02/13/2017