NPI 1003809674
MRI Associates of Illinois Sc
Practice location
- Address
- 11600 S Kedzie Ave, Merrionette Park, IL 60803-6302
- Phone
- (888) 440-6494
- Fax
- (330) 759-1501
- Mailing address
- 1455 Broad St Fl 4, Bloomfield, NJ 07003-3003
Authorised official
- Name
- David L Bloom
- Title
- President
- Phone
- (973) 707-1100
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1003809674
- Entity type
- Organization
- NPI issued
- 29 Aug 2005
- Record last updated
- 21 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.