ELK GROVE MRI INC.


Address: 901 Biesterfield Rd Ste 110, Elk Grove Village, IL 60007-3393
Phone: 8473579300

ELK GROVE MRI INC. (NPI# 1043245285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043245285
Entity Type Organization
Organization Name ELK GROVE MRI INC.
Other Organization Name MRI PROFESSIONALS OF ELK GROVE
Practice Address 901 Biesterfield Rd Ste 110
Elk Grove Village
IL 60007-3393
Practice Telephone 8473579300
Practice Fax Number 8473570800
Mailing Telephone 8473579300
Mailing Fax Number 8473570800
Enumeration Date 2006-07-12
Last Update Date 2008-09-25
Authorized Official Name LILLIAN IRIS YUQUILIMA (BILLING MANAGER)
Authorized Official Telephone 8473579300
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL BLUE CROSS BLUE SHIELD 31623087 01

Other Provider/Organization Names

Other Name Type Code
MRI Professionals of Elk Grove Doing Business As Name - Organization

Office Location

Street Address 901 BIESTERFIELD RD STE 110
City ELK GROVE VILLAGE
State IL
Zip Code 60007-3393

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City ELK GROVE VILLAGE
Zip Code 60007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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