Open Advanced MRI of Skokie, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN ADVANCED MRI OF SKOKIE, LLC

Practice address

7152 Carpenter Rd
Skokie, IL 60077-3279

Phone

(847) 329-1674

Fax

(847) 329-0329

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Mary Pat Houlihan

Title

Director

Phone

(847) 329-1674

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104881960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7152 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-329-1674",
            "fax_number": "847-329-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7152 CARPENTER RD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773279",
            "telephone_number": "847-329-1674",
            "fax_number": "847-329-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF SKOKIE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOULIHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-329-1674"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01635010",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD6394",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Omes
• Oncology Specialists SC
• Oncology Specialists,SC
• Thao Thu Ong, NP-C
• Open Advanced MRI at North Shore, LLC
• Opensky Podiatry Inc.
• Brian Andrew Opensky, DPM
• Oral and Facial Surgery of the Northshore
• Orange Pediatric Therapy Inc.
• Orchard Group Inc

• Diagnostic Radiology Physician in Skokie, IL
• Providers in Skokie, 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 Aug 22, 2020; 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.