Streeterville Open MRI, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

036068882 Issued in IL

Legal business name

STREETERVILLE OPEN MRI, LLC

Practice address

446 E Ontario St
Suite 106
Chicago, IL 60611-4418

Phone

(312) 440-0016

Fax

(312) 440-0017

NPI assigned

Jul 7, 2006

Last updated

Jan 11, 2012By 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

Mr. Edwin C Sage

Title

Member Manager

Phone

(877) 444-4540

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1518999614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E ROOSEVELT RD",
            "address_2": "SUITE 5",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876850",
            "telephone_number": "877-444-4540",
            "fax_number": "847-550-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 E ONTARIO ST",
            "address_2": "SUITE 106",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114418",
            "telephone_number": "312-440-0016",
            "fax_number": "312-440-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETERVILLE OPEN MRI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "SAGE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "877-444-4540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "036068882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhay Elliott Street, D.D.S.
• Cynthia Streeter
• Hannah Streeter, CF-SLP
• Streeterville Dental, PC (Streeterville Dental Group)
• Streeterville Internal Medicine, PLLC (Rachel O'Mara, MD, PLLC)
• Streeterville Pediatrics, S.C.
• Streeterville Psychotherapy Van Alphen & Thames
• Sarah C Strehlau, PT, DPT, WCS
• Jennifer Streicher, LCSW
• Lauren F. Streicher, M.D.

• Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.