# LAKE ZURICH OPEN MRI, LLC

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

## Provider details

- **NPI number:** 1790944197
- **Authorized official:** MR. EDWIN C SAGE (MEMBER MANAGER)
- **Authorized official phone:** (877) 444-4540

## Contact information

- **Practice address:** 721 W HIGHWAY 22, LAKE ZURICH, IL 60047-2552
- **Practice address phone:** (847) 726-0674
- **Practice address fax:** (847) 726-0675
- **Mailing address:** 1616 EAST ROOSEVELT ROAD, SUITE 5, WHEATON, IL 60187
- **Mailing address phone:** (877) 444-4540
- **Mailing address fax:** (847) 550-1488

## Taxonomy

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

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 11/16/2012