Organization
ADVANCED IMAGING OF DEERFIELD, LLC
Active
Other names
OPEN ADVANCED MRI OF DEERFIELD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PAT HOULIHAN (DIRECTOR)
(847) 374-8100
Entity
Organization
Contact information
Practice address
2101 WAUKEGAN RD, SUITE 108, BANNOCKBURN, IL 60015-1836
(847) 374-8100
(847) 374-8125
Mailing address
2101 WAUKEGAN RD, SUITE 108, BANNOCKBURN, IL 60015-1836
(847) 374-8100
(847) 374-8125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932007
BLUE SHIELD
IL
01
—
CK4071
RAILROAD MEDICARE
IL
Enumeration date
04/17/2006
Last updated
08/22/2020
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