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Organization
CHICAGO NORTHSIDE HOSPITAL MRI
Active
Organization
CHICAGO NORTHSIDE HOSPITAL MRI
Active
Other names
Chicago Northside MRI Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA RICHARDSON (VP MANAGED HEALTH)
(980) 416-4068
Entity
Organization
Contact information
Practice address
1460 N HALSTED ST, SUITE 102, CHICAGO, IL 60642-2605
(773) 525-2818
(773) 525-8589
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
IL
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618295
BCBS IL PROVIDER NUMBER
IL
Enumeration date
01/11/2007
Last updated
06/01/2026
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