ROUND LAKE MRI, INC (NPI# 1386200319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386200319 |
| Entity Type | Organization |
| Organization Name | ROUND LAKE MRI, INC |
| 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 | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | MR. JOSE THENGANATT (TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 8475463600 |
| Authorized Official Credential | RT(R) |
| Is Organization Subpart | Y |
| Parent Organization Name | ROUND LAKE MEDICAL IMAGING INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
720 E ROLLINS RD |
| City | ROUND LAKE BEACH |
| State | IL |
| Zip Code | 60073-1340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225563380 | Round Lake Medical Imaging Inc | Clinic/Center | 720 E Rollins Rd, Round Lake Beach, IL 60073-1340 | 2017-04-26 |
| 1285699033 | Open Advanced Mri of Round Lake, LLC | Radiology | 720 E Rollins Rd, Round Lake Beach, IL 60073-1340 | 2006-04-17 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
|---|---|---|---|---|
| 1295385284 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order | Clinic/Center | 1512 N Green Mount Rd Ste 103, O Fallon, IL 62269-2083 | 2019-09-12 |
| 1326516584 | Loretto Hospital | Clinic/Center | 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 | 2018-11-06 |
| 1164969838 | Smart Choice Mri, LLC | Clinic/Center | 850 N Milwaukee Ave Ste 103, Vernon Hills, IL 60061-1553 | 2017-01-19 |
| 1417491655 | Smart Choice Mri LLC | Clinic/Center | 757 E Boughton Rd, Bolingbrook, IL 60440-2281 | 2016-12-07 |
| 1205379229 | Fulton Market Mri LLC | Clinic/Center | 559 W Kinzie St, Chicago, IL 60654-5702 | 2016-11-22 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1104376987 | Smart Choice Mri, LLC | Clinic/Center | 2830 S Highland Ave Unit 9, Lombard, IL 60148-7135 | 2016-10-05 |
| 1922461664 | Smart Choice Mri, LLC | Clinic/Center | 1850 N Clybourn Ave, Chicago, IL 60614-8048 | 2016-03-31 |
| 1144695511 | Smart Choice Mri, LLC | Clinic/Center | 3560 Touhy Avenue, Skokie, IL 60076-6218 | 2015-12-10 |
| 1598130635 | Smart Choice Mri LLC | Clinic/Center | 1406 N Meacham Rd, Schaumburg, IL 60173-4808 | 2015-12-01 |
| 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.