# OPEN MRI OF JACKSONVILLE LLC

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

## Provider details

- **NPI number:** 1760527873
- **Authorized official:** RONALD R ROMANELLI (MD)
- **Authorized official phone:** (217) 547-9100

## Contact information

- **Practice address:** 1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
- **Practice address phone:** (217) 243-5831
- **Practice address fax:** (217) 245-5420
- **Mailing address:** 1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
- **Mailing address phone:** (217) 547-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | 01495461 | IL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 10/27/2009