Organization
LINCOLN PARK OPEN MRI, LLC
Active
Other names
LAKE SHORE OPEN MRI & CT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAGHU NAYAK (PRESIDENT)
(773) 761-0200
Entity
Organization
Contact information
Practice address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-0200
(773) 761-0202
Mailing address
7200 N WESTERN AVE, CHICAGO, IL 60645-1812
(773) 761-0200
(773) 761-0202
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/22/2007
Last updated
08/22/2020
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