Organization
OPEN MRI AT CORPORATE WOODS LLC
Active
Other names
Open MRI at Corporate Woods
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D JACOBSEN (OFFICER OF THE BOARD SECRETARY)
(952) 543-6500
Entity
Organization
Contact information
Practice address
555 CORPORATE WOODS PKWY, VERNON HILLS, IL 60061-3111
(847) 883-0308
(847) 883-0318
Mailing address
5775 WAYZATA BOULEVARD, SUITE 400, ST LOUIS PARK, MN 55416
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
06/06/2008
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