Organization
LAKE ZURICH OPEN MRI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN C SAGE (MEMBER MANAGER)
(877) 444-4540
Entity
Organization
Contact information
Practice address
721 W HIGHWAY 22, LAKE ZURICH, IL 60047-2552
(847) 726-0674
(847) 726-0675
Mailing address
1616 EAST ROOSEVELT ROAD, SUITE 5, WHEATON, IL 60187
(877) 444-4540
(847) 550-1488
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
11/16/2012
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