Organization
PREFERRED OPEN MRI LTD
Active
Other names
PREFERRED IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HILDA ESCAMILLA (OFFICE ADMINISTRATOR)
(773) 581-5600
Entity
Organization
Contact information
Practice address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 581-5600
Mailing address
4200 W 63RD ST, CHICAGO, IL 60629-5010
(773) 581-5600
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
036083121
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036063273
—
IL
01
—
1632652
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/11/2006
Last updated
06/16/2022
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