Organization Active NPI

Open Advanced MRI of Chicago, LLC

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1558326314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OPEN ADVANCED MRI OF CHICAGO, LLC
Practice address
150 N Michigan Ave
Suite 250
Chicago, IL 60601-7553
Phone
(312) 795-9800
Fax
(312) 795-0986
NPI assigned
Apr 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Pat Houlihan
Title
Director
Phone
(312) 795-9800

Specialties & licenses 1

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

Addresses

Primary practice location

150 N Michigan Ave
Suite 250
Chicago, IL 60601-7553

Mailing address

150 N Michigan Ave
Suite 250
Chicago, IL 60601-7553
Phone (312) 795-9800

Other identifiers 2

IdentifierTypeStateIssuer
01622956OtherILBLUE SHIELD
CG3784OtherILRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

150 N Michigan Ave
Ste 250
Chicago, IL 60601
Phone (312) 795-9800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558326314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017553",
            "telephone_number": "312-795-9800",
            "fax_number": "312-795-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MICHIGAN AVE",
            "address_2": "SUITE 250",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017553",
            "telephone_number": "312-795-9800",
            "fax_number": "312-795-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOULIHAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-795-9800"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01622956",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3784",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.