Organization
EDGEBROOK OPEN MRI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI NASSAR (MANAGER)
(708) 481-9300
Entity
Organization
Contact information
Practice address
5320 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 774-6440
(773) 774-4372
Mailing address
5320 W DEVON AVE, CHICAGO, IL 60646-4108
(773) 774-6440
(773) 774-4372
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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