Lincoln Park Open MRI, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LINCOLN PARK OPEN MRI, LLC

Practice address

7200 N Western Ave
Chicago, IL 60645-1812

Phone

(773) 761-0200

Fax

(773) 761-0202

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Raghu Nayak

Title

President

Phone

(773) 761-0200

Specialties & licenses 1

Addresses

Other names 1

• LAKE SHORE OPEN MRI & CT Doing business as

Tax ID family

Lake Shore Open MRI CT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lincoln Park Open MRI, LLC

  • Diagnostic Radiology Physician
  • East Chicago, IN
  • NPI 1326165465
  NPD tax ID

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164548756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-0200",
            "fax_number": "773-761-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451812",
            "telephone_number": "773-761-0200",
            "fax_number": "773-761-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAYAK",
        "authorized_official_first_name": "RAGHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-761-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKE SHORE OPEN MRI & CT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lincoln Park Eyes LLC
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• Lincoln Park Home Health Care, Inc.
• Lincoln Park OBGYN SC
• Lincoln Park Oral & Cosmetic Surgery
• Lincoln Park Orthopedics S.C.
• Lincoln Park Physical Therapy, PLLC
• Lincoln Park Primary Care PLLC
• Lincoln Park Psychology, Inc.

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, 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.