MRI Associates of Illinois SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MRI ASSOCIATES OF ILLINOIS SC

Doing business as

Merrionette Park MRI & Imaging Center

Practice address

11600 S Kedzie Ave
Merrionette Park, IL 60803-6302

Phone

(888) 440-6494

Fax

(330) 759-1501

NPI assigned

Aug 29, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David L Bloom, MD

Title

President

Phone

(973) 707-1100

Specialties & licenses 1

Addresses

Other names 1

• Merrionette Park MRI & Imaging Center Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• MRI Associates of Illinois SC

  dba Oaklawn MR & Imaging Center

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
  • NPI 1588657993
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003809674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 BROAD ST",
            "address_2": "FL 4",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033003",
            "telephone_number": "973-707-1100",
            "fax_number": "973-707-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 S KEDZIE AVE",
            "city": "MERRIONETTE PARK",
            "state": "IL",
            "postal_code": "608036302",
            "telephone_number": "888-440-6494",
            "fax_number": "330-759-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI ASSOCIATES OF ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrionette Park MRI & Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renita Millhouse
• Jaleel Minor
• Grace Katherine Moloney
• Jocelyn Morales
• Alyssia Morley, DO
• Deanne Lynn Murphy, PTA
• Neighborhood Pharmacy Inc
• Nora O'Byrne, MD
• Michele Obeid, MD
• Anne Margaret Ortiz, MSW

• Diagnostic Radiology Physician in Merrionette Park, IL
• Providers in Merrionette Park, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.