NPIMap

Organization Active NPI

Preferred Open MRI LTD

Doing business as Preferred Imaging

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1376598193
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42618723 Issued in IL
Legal business name
PREFERRED OPEN MRI LTD
Doing business as
Preferred Imaging
Practice address
1111 E 87TH St
Ste #900B
Chicago, IL 60619-7063
Phone
(773) 221-5500
Fax
(773) 221-5502
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Dr. Naser Rostum, MD
Title
President
Phone
(773) 237-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 42618723 IL Primary

Addresses

Primary practice location

1111 E 87TH St
Ste #900B
Chicago, IL 60619-7063

Mailing address

4200 W 63Rd St
Chicago, IL 60629-5010
Phone (773) 581-5600

Other names 1

  • PREFERRED IMAGING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Preferred Imaging7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1376598193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295010",
            "telephone_number": "773-581-5600",
            "fax_number": "773-581-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E 87TH ST",
            "address_2": "STE #900B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197063",
            "telephone_number": "773-221-5500",
            "fax_number": "773-221-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED OPEN MRI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "ROSTUM",
        "authorized_official_first_name": "NASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-237-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "42618723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PREFERRED IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.