BLOOMINGDALE OPEN MRI, LLC (NPI# 1891727988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891727988 |
| Entity Type | Organization |
| Organization Name | BLOOMINGDALE OPEN MRI, LLC |
| Practice Address |
303 E Army Trail Rd Suite 110 Bloomingdale IL 60108-2169 |
| Mailing Address |
1616 E Roosevelt Rd Suite 5 Wheaton IL 60187-6850 |
| Practice Telephone | 6305299400 |
| Practice Fax Number | 6305299401 |
| Mailing Telephone | 8774444540 |
| Mailing Fax Number | 8475501488 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | MR. EDWIN C SAGE (MEMBER MANAGER) |
| Authorized Official Telephone | 8774444540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
303 E ARMY TRAIL RD SUITE 110 |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403998 | Aziz Ahmed | Internal Medicine | 303 E Army Trail Rd, Suite 417, Bloomingdale, IL 60108-2169 | 2005-08-01 |
| 1639785314 | Podiatric Management Systems LLC | Podiatrist | 303 E Army Trail Rd, Bloomingdale, IL 60108-2169 | 2020-09-18 |
| 1053862201 | Jessica Claire Drew | Nurse Practitioner | 303 E Army Trail Rd, Suite 100, Bloomingdale, IL 60108-2169 | 2016-10-21 |
| 1003360306 | Jabri Medical Ltd. | Clinic/Center | 303 E Army Trail Rd, Suite 204, Bloomingdale, IL 60108-2169 | 2016-08-04 |
| 1407207947 | Ramina Nissan | Student in an Organized Health Care Education/Training Program | 303 E Army Trail Rd, Suite 200, Bloomingdale, IL 60108-2169 | 2016-06-27 |
| 1417307901 | Naz Fatima Rizvi | Optometrist | 303 E Army Trail Rd, Suite 200, Bloomingdale, IL 60108-2169 | 2016-06-15 |
| 1316322720 | Melissa Jo Valeska Mckinney | Specialist/Technologist | 303 E Army Trail Rd, Ste 400, Bloomingdale, IL 60108-2169 | 2015-07-27 |
| 1881087856 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 303 E Army Trail Rd, #400, Bloomingdale, IL 60108-2169 | 2015-03-14 |
| 1780094854 | Adventist Health Partners, Inc. | Internal Medicine | 303 E Army Trail Rd, Ste 203, Bloomingdale, IL 60108-2169 | 2014-04-29 |
| 1023446408 | Chicagoland Hearing | Clinic/Center | 303 E Army Trail Rd, Suite 200, Bloomingdale, IL 60108-2169 | 2013-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
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| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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| 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.