OPEN ADVANCED MRI OF SKOKIE, LLC (NPI# 1104881960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104881960 |
| Entity Type | Organization |
| Organization Name | OPEN ADVANCED MRI OF SKOKIE, LLC |
| Practice Address |
7152 Carpenter Rd Skokie IL 60077-3279 |
| Practice Telephone | 8473291674 |
| Practice Fax Number | 8473290329 |
| Mailing Telephone | 8473291674 |
| Mailing Fax Number | 8473290329 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY PAT HOULIHAN (DIRECTOR) |
| Authorized Official Telephone | 8473291674 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE SHIELD | 01635010 | 01 |
| IL | RAILROAD MEDICARE | DD6394 | 01 |
| Street Address |
7152 CARPENTER RD |
| City | SKOKIE |
| State | IL |
| Zip Code | 60077-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835347 | Tharani Theivakumar | Dentist | 5225 W. Touhy Ave, Skokie, IL 60077 | 2019-08-09 |
| 1780179838 | Total Renal Care Inc | Clinic/Center | 8950 Gross Point Rd Ste 300, Skokie, IL 60077 | 2018-06-29 |
| 1811481070 | Joseph Rubin | Counselor | 7929 Lincoln Ave Ste 202, Skokie, IL 60077 | 2018-06-20 |
| 1245721067 | Lipnick Orthopaedics S.c. | Orthopaedic Surgery | 4856 Oakton Street, Skokie, IL 60077 | 2018-05-29 |
| 1376034991 | Karen Bradley | Nurse Practitioner | 5143 Coyle Ave, Skokie, IL 60077 | 2018-05-21 |
| 1093217036 | Arnold Arellano | Pedorthist | 5202 Old Orchard Road, N100, Skokie, IL 60077 | 2018-03-06 |
| 1043722408 | Carolyn Mary Jarozewski I | Registered Nurse | 5250 N.old Orchard Road Suite 300, 5250 N.old Orchard Road Suite 300, Skokie, IL 60077 | 2017-10-25 |
| 1841718400 | Katie Kluga | Nurse Practitioner | 9977 Woods Drive Suite 300, Skokie, IL 60077 | 2017-09-05 |
| 1265950091 | Larry Asher Sidel | Counselor | 9530 Lamon Pl.apt 110, Skokie, IL 60077 | 2017-08-31 |
| 1578088639 | Eleni Toumplis | Pharmacist | 4955 Dempster St, Skokie, IL 60077 | 2017-08-10 |
| Find all providers in zip 60077 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831475870 | Riaz Ahmed | Radiology | 9535 Kostner Ave, Skokie, IL 60076-1329 | 2011-10-21 |
| 1174839575 | Dawn Diagnostics Imaging Group Inc. | Radiology | 8023 Kilpatrick Ave Apt 1a, Skokie, IL 60076-3055 | 2010-08-23 |
| 1043250053 | Najma A. Mirza | Radiology | 3701 Jarvis Ave, Skokie, IL 60076-4019 | 2006-06-07 |
| 1639141419 | United Diagnostic Systems Inc | Radiology | 5301 W Dempster St, Ste 203, Skokie, IL 60077 | 2006-02-06 |
| 1821052648 | Open Advanced Mri At North Shore, LLC | Radiology | 9933 Lawler Ave, Suite 135, Skokie, IL 60077-3703 | 2006-04-17 |
| 1609849827 | United Medical Services Inc | Radiology | 5301 Dempster St, Ste 201, Skokie, IL 60077-1846 | 2006-02-08 |
| 1124011887 | Skokie Valley Ct Centre | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-29 |
| 1508859349 | North Shore Mri Centre | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| 1700879566 | Gary J Novetsky | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| 1245223098 | Jonathan M Alexander | Radiology | 9600 Gross Point Rd, Suite A, Skokie, IL 60076-1214 | 2005-08-26 |
| Find all providers in SKOKIE | ||||
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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.