NPI 1114008000

Prairie Open MRI, LLC

Organisation Magnetic Resonance Imaging (MRI) Clinic/Center Westchester, IL

Practice location

Address: 2450 Wolf Rd Unit C, Westchester, IL 60154-5634
Phone: (708) 409-1300
Mailing address: 1616 E Roosevelt Rd Suite 5, Wheaton, IL 60187-6850

Authorised official

Name: Edwin C Sage
Title: Member Manager
Phone: (877) 444-4540

Registered specialties (2)

Magnetic Resonance Imaging (MRI) Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1200X

Other Clinic/Center providers in Illinois →

Radiology Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Registry record

NPI: 1114008000
Entity type: Organization
NPI issued: 18 Oct 2006
Record last updated: 1 Jan 2012

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.