Organization
OPEN ADVANCED MRI OF PLAINFIELD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ZEMELA (DIRECTOR)
(815) 609-4988
Entity
Organization
Contact information
Practice address
4714 CATON FARM RD, PLAINFIELD, IL 60586-8350
(815) 609-4988
(815) 609-4989
Mailing address
4714 CATON FARM RD, PLAINFIELD, IL 60586-8350
(815) 609-4988
(815) 609-4989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09932181
BLUE SHIELD
IL
01
—
DB4311
RAILROAD MEDICARE
IL
Enumeration date
04/17/2006
Last updated
08/22/2020
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