LAKE SHORE OPEN MRI & CT – NPI #1164548756
Radiology

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

Health Care Provider Taxonomy Code for Radiology

LAKE SHORE OPEN MRI & CT is a radiologist located in CHICAGO, IL. NPPES has assigned the NPI number 1164548756 to LAKE SHORE OPEN MRI & CT on March 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LAKE SHORE OPEN MRI & CT” is a dba name, the actual legal business name for this organization is LINCOLN PARK OPEN MRI, 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 6 years ago on Aug 22, 2020. 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 LAKE SHORE OPEN MRI & CT below.

NPI Profile for
LINCOLN PARK OPEN MRI, LLC

NPI Number
1164548756
Enumeration Date

(more than 19 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
LINCOLN PARK OPEN MRI, LLC
Doing Business As (dba): LAKE SHORE OPEN MRI & CT
Primary location
7200 N WESTERN AVE
CHICAGO, IL 60645-1812
Phone: (773) 761-0200 Fax: (773) 761-0202
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RAGHU NAYAK
PRESIDENT
Phone: (773) 761-0200
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.