NPIMap

Organization Active NPI

Preferred Open MRI LTD

Doing business as Preferred Imaging

  • Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1649374703
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
036083121 Issued in IL
Legal business name
PREFERRED OPEN MRI LTD
Doing business as
Preferred Imaging
Practice address
4200 W 63Rd St
Chicago, IL 60629-5010
Phone
(773) 581-5600
NPI assigned
Sep 11, 2006
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Miss Hilda Escamilla
Title
Office Administrator
Phone
(773) 581-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 036083121 IL Primary

Addresses

Primary practice location

4200 W 63Rd St
Chicago, IL 60629-5010

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
1632652OtherILBLUE CROSS BLUE SHIELD
036063273MedicaidIL

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": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1649374703",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295010",
            "telephone_number": "773-581-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED OPEN MRI LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "ESCAMILLA",
        "authorized_official_first_name": "HILDA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "773-581-5600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "036083121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1632652",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036063273",
            "state": "IL"
        }
    ],
    "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 16, 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.