Organization
ELK GROVE MRI INC.
Active
Other names
MRI Professionals of Elk Grove
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN IRIS YUQUILIMA (BILLING MANAGER)
(847) 357-9300
Entity
Organization
Contact information
Practice address
901 BIESTERFIELD RD STE 110, ELK GROVE VILLAGE, IL 60007-3393
(847) 357-9300
(847) 357-0800
Mailing address
901 BIESTERFIELD RD STE 110, ELK GROVE VILLAGE, IL 60007-3393
(847) 357-9300
(847) 357-0800
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31623087
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/12/2006
Last updated
09/25/2008
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