Active NPI
Open MRI of Elk Grove, LLC
- Diagnostic Radiology Physician
- Elk Grove Village, IL
National Provider Identifier
1043641715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OPEN MRI OF ELK GROVE, LLC
- Practice address
- 134 Biesterfield Rd
Elk Grove Village, IL 60007-3657 - Phone
- (847) 852-7800
- Fax
- (847) 853-7777
- NPI assigned
- Dec 6, 2013
- Organization subpart
- Yes
- Parent organization
- JT & NJ INVESTMENTS, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Duym
- Title
- Manager
- Phone
- (847) 732-0211
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary | ||
| Diagnostic Ultrasound Physician | 2085U0001X |
Addresses
Primary practice location
134 Biesterfield Rd
Elk Grove Village, IL 60007-3657
Mailing address
6400 Industrial Loop
Greendale, WI 53129-2452
Phone (414) 423-4100
National Provider Directory
National Provider DirectoryLocations
134 Biesterfield Rd
Elk Grove Village, IL 60007
Phone (847) 852-7800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386288000000",
"number": "1043641715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 INDUSTRIAL LOOP",
"city": "GREENDALE",
"state": "WI",
"postal_code": "531292452",
"telephone_number": "414-423-4100",
"fax_number": "414-423-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 BIESTERFIELD RD",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073657",
"telephone_number": "847-852-7800",
"fax_number": "847-853-7777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPEN MRI OF ELK GROVE, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JT & NJ INVESTMENTS, LLC",
"enumeration_date": "2013-12-06",
"last_updated": "2013-12-06",
"status": "A",
"authorized_official_last_name": "DUYM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "847-732-0211"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.