Open Mri of Jacksonville LLC
NPI #1538279104 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1538279104
- Entity Type
- Organization
- Organization Name
- Open Mri of Jacksonville LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-0650
Authorized Official
- Name
- RONALD R ROMANELLI, MD
- Title
- MD
- Phone
- (217) 245-0650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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