Organization
CHICAGO NORTHSIDE HOSPITAL MRI
Active
Other names
Chicago Northside MRI Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA RICHARDSON (VP MANAGED HEALTH)
(980) 416-4068
Entity
Organization
Contact information
Practice address
1460 N HALSTED ST, SUITE 102, CHICAGO, IL 60642-2605
(773) 525-2818
(773) 525-8589
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
IL
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618295
BCBS IL PROVIDER NUMBER
IL
Enumeration date
01/11/2007
Last updated
06/01/2026
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