MRI OF RIVER NORTH – NPI #1316949886
Clinic/Center

MRI OF RIVER NORTH is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1316949886 to MRI OF RIVER NORTH on August 13, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MRI OF RIVER NORTH” is a dba name, the actual legal business name for this organization is PREMIER HEALTH SERVICES, INC. The primary taxonomy selected by this provider is 261QM1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 8 years ago on Jan 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MRI OF RIVER NORTH below.

NPI Profile for
PREMIER HEALTH SERVICES, INC

NPI Number
1316949886
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PREMIER HEALTH SERVICES, INC
Doing Business As (dba): MRI OF RIVER NORTH
Primary location
559 WEST KINZIE
CHICAGO, IL 60654
Phone: (312) 335-1155 Fax: (312) 335-9098
Mailing address
PO BOX 674242
DALLAS, TX 75267-4242
Phone: (312) 335-1155 Fax: (312) 335-9098
Organization Subpart
No
Authorized Official
CLERISSA HADLEY
REGIONAL DIRECTOR OF NETWORK DEVELO
Phone: (972) 215-7410
Updated
Identifiers

Identifiers for MRI OF RIVER NORTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICARE PTAN574840
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.