Parkside Magnetic Resonance Center, LTD

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

PARKSIDE MAGNETIC RESONANCE CENTER, LTD

Doing business as

Parkside MRI

Practice address

1875 Dempster St
Suite G06
Park Ridge, IL 60068-1186

Phone

(847) 696-7900

Fax

(847) 692-4593

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Mary M Foote

Title

Administrator

Phone

(847) 696-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Parkside MRI Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin J Boyer, D.O.

  • Radiation Oncology Physician
  • Elk Grove VLG, IL
  • NPI 1043200165
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194825372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE G06",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-7900",
            "fax_number": "847-692-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 DEMPSTER ST",
            "address_2": "SUITE G06",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-696-7900",
            "fax_number": "847-692-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE MAGNETIC RESONANCE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOOTE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-696-7900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - IDTF",
            "identifier": "214992",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkside MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claire Sun Park, MD
• Eunyoung Park, D.D.S.
• Hong Andy Park, M.D.
• John J Park, M.D.
• Parkside Imaging SC
• Parkside Obstetrics & Gynecology SC
• Parkside Pediatrics, S.C.
• Adam Joshua Parnass, M.D.
• Ethan Jordan Parnass
• Jordan Rae Parnell, CNM

• Magnetic Resonance Imaging (MRI) Clinic/Center in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.