MRI OF OAK LAWN LLC (NPI# 1366692733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366692733 |
Entity Type | Organization |
Organization Name | MRI OF OAK LAWN LLC |
Practice Address |
6240 W 95th St Oak Lawn IL 60453-2702 |
Mailing Address |
9830 Ridgeland Ave Chicago Ridge IL 60415-2667 |
Practice Telephone | 7082371000 |
Mailing Telephone | 7084231819 |
Mailing Fax Number | 7084234788 |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |
Authorized Official Name | DR. MOHAMMED ALAWAD (MEMBER/OWNER) |
Authorized Official Telephone | 7084231819 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
IL | Allopathic & Osteopathic Physicians |
Street Address |
6240 W 95TH ST |
City | OAK LAWN |
State | IL |
Zip Code | 60453-2702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588657993 | Mri Associates of Illinois Sc | Radiology | 6240 W 95th St, Oak Lawn, IL 60453-2702 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659995231 | Natalia Zero | Student in an Organized Health Care Education/Training Program | 4440 W 95th St, Rm 131 North, Oak Lawn, IL 60453 | 2020-05-30 |
1114554300 | Sylvia Maria Chlebek | Student in an Organized Health Care Education/Training Program | Advocate Christ Medical Center 4440 W. 95th St., Rm 131 North, Oak Lawn, IL 60453 | 2020-03-26 |
1972066751 | Amanda Mroczek | Family Medicine | 9555 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-09 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1659833473 | Chelsea Sumida Gipson | Family Medicine | 9555 South 52nd Avenue, Suite F, Oak Lawn, IL 60453 | 2019-04-01 |
1518427418 | Robert Lindgren | Family Medicine | 9555 S. 52nd Ave., Suite F, Oak Lawn, IL 60453 | 2019-03-25 |
1154886695 | Stephanie Anne Comer | Social Worker | 10102 South Cicero Avenue, Suite C, Oak Lawn, IL 60453 | 2019-02-08 |
1700360070 | Brian L Lee | Counselor | 8938 S Ridgeland Avenue Suite 100, Oak Lawn, IL 60453 | 2018-09-21 |
1679085245 | International Dental of Oak Lawn | Clinic/Center | 9539 S Cicero Ave, Oak Lawn, IL 60453 | 2017-11-03 |
1124538301 | Kavitha Rajendran | Physician Assistant | 5851 W. 95th Street, Suite 300, Oak Lawn, IL 60453 | 2017-10-02 |
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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 |
---|---|---|---|---|
1588657993 | Mri Associates of Illinois Sc | Radiology | 6240 W 95th St, Oak Lawn, IL 60453-2702 | 2005-08-31 |
1396350708 | Crystal Oehmen | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2020-09-11 |
1659790137 | Kelvin Visuth | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2014-04-10 |
1396010591 | Mihir Patel | Radiology | 4440 W 95th St, Oak Lawn, IL 60453 | 2012-03-20 |
1053632786 | Jessica Lai | Radiology | 4545 W 103rd St, Oak Lawn, IL 60453-4860 | 2010-06-16 |
1174766745 | Anisha S Martin | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2009-04-13 |
1063676013 | Paul Michael Guzzetta Jr. | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-07-17 |
1083829378 | Myrosia Tomiak Mitchell | Radiology | 4440 W 95th St, Advocate Christ Medical Center, Dept. of Radiology, Oak Lawn, IL 60453-2600 | 2007-05-11 |
1316989973 | Southwest Radiologist Joint Vtr | Radiology | 5550 W 111th St, Oak Lawn, IL 60453-5012 | 2006-06-11 |
1235108820 | James Song | Radiology | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2006-03-16 |
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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.