Organization
AMERICAN MRI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN E TAZELAAR D.C. (PRESIDENT)
(312) 933-6278
Entity
Organization
Contact information
Practice address
360 W BUTTERFIELD RD, SUITE 130, ELMHURST, IL 60126-5068
(847) 870-3600
(847) 870-3500
Mailing address
360 W BUTTERFIELD RD, SUITE 130, ELMHURST, IL 60126-5068
(847) 870-3600
(847) 870-3500
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
3772-0384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3772-0384
STATE TAX ID#
IL
Enumeration date
02/02/2007
Last updated
10/04/2021
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