PREFERRED OPEN MRI (NPI# 1649374703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649374703 |
| Entity Type | Organization |
| Organization Name | PREFERRED OPEN MRI |
| Practice Address |
4200 W 63rd St Chicago IL 60629-5010 |
| Practice Telephone | 7735815600 |
| Mailing Telephone | 7735815600 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS HILDA ESCAMILLA (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 7735815600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1632652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376598193 | Preferred Open Mri | Radiology | 1111 E 87th St, Ste #900b, Chicago, IL 60619-7063 | 2006-05-23 |
| Street Address |
4200 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528057874 | Maurice A Guzman | Family Medicine | 4200 W 63rd St, Chicago, IL 60629-5010 | 2005-10-19 |
| 1598907792 | Affiliated Surgicare,ltd. | Clinic/Center | 4200 W 63rd St, Chicago, IL 60629-5010 | 2009-04-02 |
| 1982896023 | Preferred Pain Care Specialists | Chiropractor | 4200 W 63rd St, Chicago, IL 60629-5010 | 2007-08-13 |
| 1598710196 | Preferred Open Mri Ltd | Radiology | 4200 W 63rd St, Chicago, IL 60629-5010 | 2006-05-23 |
| 1205888351 | Preferred Open Mri, Ltd. | Radiologic Technologist | 4200 W 63rd St, Chicago, IL 60629-5010 | 2006-05-17 |
| 1578512315 | Jose Carlos Rodriguez | Family Medicine | 4200 W 63rd St, Chicago, IL 60629-5010 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1578920401 | Hope Women's Imaging and Medical Center, LLC | Clinic/Center | 3517 W Devon Ave, Chicago, IL 60659-1305 | 2016-01-22 |
| 1679996482 | Vision Imaging Professionals | Clinic/Center | 833 W 15th Pl Unit 314, Chicago, IL 60608-1848 | 2014-01-29 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1881827251 | Archer Kedzie Imaging LLC | Clinic/Center | 4365 S Archer Ave, Chicago, IL 60632-2826 | 2009-09-01 |
| 1386767937 | Resurrection Services | Clinic/Center | 3101 N Harlem Ave, Resurrection Open Mri Imaging Center, Chicago, IL 60634-4532 | 2007-04-09 |
| 1821132127 | Advanced Diagnostics, Sc | Clinic/Center | 2300 W. Peterson Avenue, Chicago, IL 60659-5242 | 2007-02-19 |
| 1306873377 | Pri Diagnostics, LLC. | Clinic/Center | 1456 Momentum Pl, Chicago, IL 60689-5314 | 2006-06-27 |
| 1366490021 | Hawthorne Works Medical Imaging, LLC | Clinic/Center | 4701 W Cermak Rd, Chicago, IL 60804-2508 | 2006-05-05 |
| Find all providers in CHICAGO | ||||
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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.