Organization
OPEN ADVANCED MRI OF SCHAUMBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ZEMELA (DIRECTOR)
(847) 397-2300
Entity
Organization
Contact information
Practice address
1834 WALDEN OFFICE SQ, SUITE 125, SCHAUMBURG, IL 60173-4292
(847) 397-2300
(847) 397-6140
Mailing address
1834 WALDEN OFFICE SQ, SUITE 125, SCHAUMBURG, IL 60173-4292
(847) 397-2300
(847) 397-6140
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622028
BLUE SHIELD
IL
01
—
CI5064
RAILROAD MEDICARE
IL
Enumeration date
04/17/2006
Last updated
08/22/2020
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