Active NPI
Westbrook Open MRI, LLC.
- Diagnostic Radiology Physician
- Westchester, IL
National Provider Identifier
1144315623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- WESTBROOK OPEN MRI, LLC.
- Practice address
- 3067 Wolf Rd
Westchester, IL 60154-5622 - Phone
- (708) 836-9000
- Fax
- (708) 836-1860
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy Nelson Merrill, M.D.
- Title
- President
- Phone
- (630) 472-8800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3067 Wolf Rd
Westchester, IL 60154-5622
Mailing address
2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1636444 | Other | IL | BCBS |
| P00312639 | Other | IL | RAILROAD MEDICARE PIN |
National Provider Directory
National Provider DirectoryLocations
Dept 4204
Carol Stream, IL 60122
3067 Wolf Rd
Westchester, IL 60154
Phone (708) 836-9000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- La Grange, IL
- NPI 1568482487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1144315623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 SPRING RD",
"address_2": "SUITE 200",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231804",
"telephone_number": "630-472-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3067 WOLF RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545622",
"telephone_number": "708-836-9000",
"fax_number": "708-836-1860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTBROOK OPEN MRI, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "MERRILL",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "NELSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-472-8800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1636444",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00312639",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
- Richard Wawrzonkowski, MS, BCBA, LBA
- Jennifer Ann Weaver, CADC
- West Suburban Medical Center
- West Suburban Pediatric Associates PC
- West Suburban Speech Pathology
- Westbrook Wellness Internal Medicine, SC
- Westchester Diagnostic Laboratory
- Westchester Eye Surgeons, S.C.
- Westchester Family Dental LTD
- Westchester Integrated Health Care SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.