Organization
LINCOLN PARK OPEN MRI, LLC
Active
Organization
LINCOLN PARK OPEN MRI, LLC
Active
Other names
LAKESIDE OPEN MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAGHU NAYAK (PRESIDENT)
(219) 392-8888
Entity
Organization
Contact information
Practice address
812 W CHICAGO AVE, EAST CHICAGO, IN 46312-3307
(219) 392-8888
(219) 392-8812
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
03/23/2007
Last updated
08/22/2020
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