OPEN MRI AT CORPORATE WOODS – NPI #1114953577
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

OPEN MRI AT CORPORATE WOODS is a radiologist located in VERNON HILLS, IL. NPPES has assigned the NPI number 1114953577 to OPEN MRI AT CORPORATE WOODS on June 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OPEN MRI AT CORPORATE WOODS” is a dba name, the actual legal business name for this organization is OPEN MRI AT CORPORATE WOODS LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Jun 06, 2008. 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 OPEN MRI AT CORPORATE WOODS below.

NPI Profile for
OPEN MRI AT CORPORATE WOODS LLC

NPI Number
1114953577
Enumeration Date

(about 20 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
OPEN MRI AT CORPORATE WOODS LLC
Doing Business As (dba): OPEN MRI AT CORPORATE WOODS
Primary location
555 CORPORATE WOODS PKWY
VERNON HILLS, IL 60061-3111
Phone: (847) 883-0308 Fax: (847) 883-0318
Mailing address
5775 WAYZATA BOULEVARD
SUITE 400
ST LOUIS PARK, MN 55416
Phone: (952) 542-8553 Fax: (952) 513-6880
Organization Subpart
No
Authorized Official
DONALD JACOBSEN
OFFICER OF THE BOARD SECRETARY
Phone: (952) 543-6500
Updated
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
2085R0202X
- Radiology / Diagnostic Radiology (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.