Organization
PREFERRED OPEN MRI LTD
Active
Other names
PREFERRED IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NORMA NHOLGUIN (OFFICE ADMINISTRATOR)
(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
42618681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216078
MEDICARE PTAN
IL
Enumeration date
05/23/2006
Last updated
06/16/2022
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