Corporate Woods Open MRI

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

Legal business name

CORPORATE WOODS OPEN MRI

Practice address

555 Corporate Woods Pkwy
Vernon Hills, IL 60061-3111

Phone

(847) 634-9400

Fax

(847) 634-2900

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Joanne L. Degennaro

Title

Business Office Administrator

Phone

(847) 634-0400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1043472020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CORPORATE WOODS PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613111",
            "telephone_number": "847-634-9400",
            "fax_number": "847-634-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CORPORATE WOODS PKWY",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600613111",
            "telephone_number": "847-634-9400",
            "fax_number": "847-634-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE WOODS OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-634-0400"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Vernon Hills, IL
• Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.