Organization
PREFERRED OPEN MRI, LTD.
Active
Other names
PREFERRED IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASER RUSTOM (PRESIDENT)
(773) 581-5600
Entity
Organization
Contact information
Practice address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 581-5600
(773) 581-5608
Mailing address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 581-5600
(773) 581-5608
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2471B0102X
Bone Densitometry Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632652
BCBS OF ILL PROVIDER NUMB
IL
Enumeration date
05/17/2006
Last updated
06/16/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us