Illini Open Mri, LLC

NPI #1417950437 in Champaign, Illinois

Provider Information

NPI Number
1417950437
Entity Type
Organization
Organization Name
Illini Open Mri, LLC
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
May 23, 2005
Last Updated
Jun 12, 2008

Practice Location

Address
2147 S NEIL ST
ZIP Code
61820-7593
Phone
(217) 359-8339

Authorized Official

Name
MRS. MICHELLE DOUGLAS
Title
CREDENTIALING MANAGER
Phone
(502) 403-1401

Specialties & Taxonomy Codes

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

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