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Organization
SOUTH SUBURBAN OPEN MRI OF ORLAND, LLC
Active
Organization
SOUTH SUBURBAN OPEN MRI OF ORLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN C. SAGE (MEMBER MANAGER)
(877) 444-4540
Entity
Organization
Contact information
Practice address
9121 159TH ST, SUITES B & C, ORLAND HILLS, IL 60487-5901
(708) 226-9400
(708) 226-9492
Mailing address
1616 E ROOSEVELT RD, SUITE 5, WHEATON, IL 60187-6850
(877) 444-4540
(847) 550-1488
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
01/01/2012
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