# NILES OPEN MRI INC

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

## Provider details

- **NPI number:** 1720211360
- **Authorized official:** MS. GIGY NELLAMATTATHIL (DIRECTOR)
- **Authorized official phone:** (847) 824-2628

## Contact information

- **Practice address:** 8618 W GOLF RD, NILES, IL 60714-5600
- **Practice address phone:** (847) 824-2628
- **Practice address fax:** (847) 824-4157
- **Mailing address:** PO BOX 7389, PROSPECT HEIGHTS, IL 60070-7389
- **Mailing address phone:** (847) 824-2628
- **Mailing address fax:** (847) 824-4157

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2009
- **Last updated:** 08/31/2009