Organization
NORTHERN OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANNA GOSWAMI M.D. (OWNER)
(815) 754-4100
Entity
Organization
Contact information
Practice address
1955 DEKALB AVE, SYCAMORE, IL 60178-3107
(817) 754-4100
(815) 754-4141
Mailing address
1955 DEKALB AVE, SYCAMORE, IL 60178-3107
(817) 754-4100
(815) 754-4141
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
IL
Other
Enumeration date
05/22/2006
Last updated
07/21/2022
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