OPEN ADVANCED MRI OF ROUND LAKE, LLC (NPI# 1285699033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285699033 |
| Entity Type | Organization |
| Organization Name | OPEN ADVANCED MRI OF ROUND LAKE, LLC |
| Practice Address |
720 E Rollins Rd Round Lake Beach IL 60073-1340 |
| Practice Telephone | 8475463600 |
| Practice Fax Number | 8475463633 |
| Mailing Telephone | 8475463600 |
| Mailing Fax Number | 8475463633 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARY PAT HOULIHAN (DIRECTOR) |
| Authorized Official Telephone | 8475463600 |
| 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 | RAILROAD MEDICARE | DB1792 | 01 |
| IL | BLUE SHIELD | 04932279 | 01 |
| Street Address |
720 E ROLLINS RD |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip Code | 60073-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200319 | Round Lake Mri, Inc | Clinic/Center | 720 E Rollins Rd, Round Lake Beach, IL 60073-1340 | 2019-05-15 |
| 1225563380 | Round Lake Medical Imaging Inc | Clinic/Center | 720 E Rollins Rd, Round Lake Beach, IL 60073-1340 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1225637614 | Sharice Ellenwood | Counselor | 1087 N Village Dr, Round Lake Beach, IL 60073 | 2020-10-18 |
| 1013521301 | Self Connected Therapy LLC | Clinic/Center | 2189 N. Rt. 83, #292, Round Lake Beach, IL 60073 | 2020-09-03 |
| 1538710900 | Mykola Rudyk | Dentist | 425 N Wilson Rd, Round Lake, IL 60073 | 2019-09-26 |
| 1205344173 | Shamari Mentoring Company | Counselor | 1020 W Rollins Rd, Rould Lake Heights, IL 60073 | 2018-01-13 |
| 1770007007 | Mary Burnett | Physical Therapy Assistant | 512 S Jade Lane, Round Lake, IL 60073 | 2017-07-28 |
| 1881055549 | Irina Akimova | Community Health Worker | 715 W. Judd Street, Woodstock, IL 60073 | 2016-03-09 |
| 1487051751 | Lawrence Scire | Specialist | 800 High School Drive, Round Lake, IL 60073 | 2014-12-02 |
| 1659778090 | Giacchino James Lech II | Specialist/Technologist | 609 S Jade Ln, Round Lake, IL 60073 | 2014-12-01 |
| 1407265283 | Linda Lee Eaton | Massage Therapist | 650 S Curran Road, Round Lake, IL 60073 | 2014-08-06 |
| Find all providers in zip 60073 | ||||
| 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 |
|---|---|---|---|---|
| 1689959116 | Chirag Patel | Radiology | 1522 N East End Ave, Round Lake Beach, IL 60073 | 2011-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | ROUND LAKE BEACH |
| Zip Code | 60073 |
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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.