Active NPI
Extremity MRI Specialists Inc
Doing business as MR Imaging of West Chicago
- Diagnostic Radiology Physician
- West Chicago, IL
National Provider Identifier
1306890306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- EXTREMITY MRI SPECIALISTS INC
- Doing business as
- MR Imaging of West Chicago
- Practice address
- 1887 N Neltnor Blvd
West Chicago, IL 60185-5932 - Phone
- (630) 876-1600
- Fax
- (630) 876-1604
- NPI assigned
- May 22, 2006
- Last updated
- Feb 9, 2012
- 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
- Syed Tirmizi
- Title
- President
- Phone
- (630) 876-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary |
Addresses
Primary practice location
1887 N Neltnor Blvd
West Chicago, IL 60185-5932
Mailing address
1887 N Neltnor Blvd
West Chicago, IL 60185-5932
Phone (630) 876-1600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02232665 | Other | IL | BLUESHIELD GROUP NUMBER |
| DD6699 | Other | IL | RAILROAD MEDICARE GROUP # |
Other names 1
- MR Imaging of West Chicago
National Provider Directory
National Provider DirectoryLocations
1887 N Neltnor Blvd
West Chicago, IL 60185
Phone (630) 519-6857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328745600000",
"number": "1306890306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 N NELTNOR BLVD",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601855932",
"telephone_number": "630-876-1600",
"fax_number": "630-876-1604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 N NELTNOR BLVD",
"city": "WEST CHICAGO",
"state": "IL",
"postal_code": "601855932",
"telephone_number": "630-876-1600",
"fax_number": "630-876-1604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXTREMITY MRI SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2012-02-09",
"status": "A",
"authorized_official_last_name": "TIRMIZI",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-876-1600"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD GROUP NUMBER",
"identifier": "02232665",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "DD6699",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MR Imaging of West Chicago",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.