Organization
WESTBROOK OPEN MRI, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY NELSON MERRILL M.D. (PRESIDENT)
(630) 472-8800
Entity
Organization
Contact information
Practice address
3067 WOLF RD, WESTCHESTER, IL 60154-5622
(708) 836-9000
(708) 836-1860
Mailing address
2000 SPRING RD, SUITE 200, OAK BROOK, IL 60523-1804
(630) 472-8800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1636444
BCBS
IL
01
—
P00312639
RAILROAD MEDICARE PIN
IL
Enumeration date
10/03/2006
Last updated
08/04/2008
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