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Organization

OPEN MRI OF JACKSONVILLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD R ROMANELLI (MD)
(217) 547-9100
Entity
Organization

Contact information

Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 243-5831
(217) 245-5420
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
01495461
IL

Other

Enumeration date
02/20/2007
Last updated
10/27/2009
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