Open Advanced MRI of Deer Park, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN ADVANCED MRI OF DEER PARK, LLC

Practice address

20530 N Rand Rd
Suite 350
Deer Park, IL 60010-7233

Phone

(847) 550-6740

Fax

(847) 550-9997

NPI assigned

Apr 17, 2006

Last updated

Nov 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William A Currie

Title

Vice President

Phone

(847) 550-6740

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harold Friedman, M.D.

  • Neuroradiology Physician
  • Mundelein, IL
  • NPI 1225012081

  Diagnostic Radiology

  NPD (past)
• Patricia Delzell, M.D.

  • Diagnostic Radiology Physician
  • Chagrin Falls, OH
  • NPI 1124088984
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1225093081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20530 N RAND RD",
            "address_2": "SUITE 350",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107233",
            "telephone_number": "847-550-6740",
            "fax_number": "847-550-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20530 N RAND RD",
            "address_2": "SUITE 350",
            "city": "DEER PARK",
            "state": "IL",
            "postal_code": "600107233",
            "telephone_number": "847-550-6740",
            "fax_number": "847-550-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF DEER PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "CURRIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-550-6740"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC9431",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "04932417",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Arielle Miree, LPC
• Johnathan Myers
• National Pain Centers LLC
• Oral Facial & Implant Specialists, P.C.
• Patel Medical Group P.C. (Aayu Well)
• Darshan Patel, MD
• Jenean Poley, LCPC
• Bruce N Privatsky, DDS

• Diagnostic Radiology Physician in Deer Park, IL
• Providers in Deer Park, 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 Nov 24, 2015; 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.