Organization Active NPI

West Regional MRI LTD Partnership

  • Physiological Laboratory
  • Oak Brook, IL
National Provider Identifier
1417059403
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
WEST REGIONAL MRI LTD PARTNERSHIP
Practice address
2425 W 22ND St Ste 105
Oak Brook, IL 60523-4647
Phone
(630) 990-4674
Fax
(630) 572-1455
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Gaelane Rosinski
Title
Contracting Credentialing Specialis
Phone
(847) 658-0996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2425 W 22ND St Ste 105
Oak Brook, IL 60523-4647

Mailing address

2425 W 22ND St Ste 105
Oak Brook, IL 60523-4647
Phone (630) 990-4674

Other names 1

  • VISION MRI OF OAK BROOK Doing business as

National Provider Directory

National Provider Directory

Locations

2425 W 22nd St
Ste 105
Oak Brook, IL 60523
Phone (630) 990-4674

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1417059403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST STE 105",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234647",
            "telephone_number": "630-990-4674",
            "fax_number": "630-572-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 W 22ND ST STE 105",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234647",
            "telephone_number": "630-990-4674",
            "fax_number": "630-572-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST REGIONAL MRI LTD PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "ROSINSKI",
        "authorized_official_first_name": "GAELANE",
        "authorized_official_title_or_position": "CONTRACTING CREDENTIALING SPECIALIS",
        "authorized_official_telephone_number": "847-658-0996"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION MRI OF OAK BROOK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.