Organization
PREMIER HEALTH SERVICES, INC.
Active
Other names
Premier Open MRI of McHenry County
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE KALISCH (REGIONAL DIRECTOR OF OPS)
(847) 228-0834
Entity
Organization
Contact information
Practice address
1154 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 458-1460
(847) 458-1942
Mailing address
1154 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 458-1460
(847) 458-1942
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036042750-6
—
IL
Enumeration date
08/13/2005
Last updated
07/21/2017
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