Bucktown Open Mri, LLC

NPI #1023444890 in Chicago, Illinois

Provider Information

NPI Number
1023444890
Entity Type
Organization
Organization Name
Bucktown Open Mri, LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Sep 24, 2013
Last Updated
Sep 26, 2013

Practice Location

Address
1717 N ASHLAND AVE
ZIP Code
60622-1449
Phone
(773) 772-9988

Authorized Official

Name
MR. EDWIN SAGE
Title
MEMBER MANAGER
Phone
(773) 772-9988

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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