Organization Active NPI

Extremity MRI Specialists Inc

Doing business as MR Imaging of West Chicago

  • Diagnostic Radiology Physician
  • West Chicago, IL
National Provider Identifier
1306890306
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02232665OtherILBLUESHIELD GROUP NUMBER
DD6699OtherILRAILROAD MEDICARE GROUP #

Other names 1

  • MR Imaging of West Chicago Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.