Prairie Open Mri, LLC
NPI #1114008000 in Westchester, Illinois
Provider Information
- NPI Number
- 1114008000
- Entity Type
- Organization
- Organization Name
- Prairie Open Mri, LLC
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jan 1, 2012
Practice Location
- Address
- 2450 WOLF RD
- Address 2
- UNIT C
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60154-5634
- Phone
- (708) 409-1300
Authorized Official
- Name
- MR. EDWIN C SAGE
- Title
- MEMBER MANAGER
- Phone
- (877) 444-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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