Homer Glen Open MRI and Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

HOMER GLEN OPEN MRI AND IMAGING LLC

Practice address

14833 Founders Xing
Homer Glen, IL 60491-6705

Phone

(708) 301-4664

NPI assigned

Jan 16, 2007

Last updated

Mar 25, 2015By 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. Naseem Khalil

Title

President

Phone

(708) 301-4664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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.

• Andrew McDonnell, MD

  • Diagnostic Radiology Physician
  • Fresh Meadows, NY
  • NPI 1912968025
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1699826636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14833 FOUNDERS XING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916705",
            "telephone_number": "708-301-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14833 FOUNDERS XING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916705",
            "telephone_number": "708-301-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER GLEN OPEN MRI AND IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NASEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-301-4664",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal D. Hines-Mays, M.D.
• Home Dialysis Services LLC
• Home Hemo Dialysis Network LLC
• Homer Chiropractic Clinic LLC
• Homer Glen Chiropractic Center, SC
• Homer Glen Pediatrics, SC
• Homer Glen Vision Source LLC
• Homer-Lockport Dental Associates, Inc.
• Marshelle Hood, LPC
• Hope and Prosper

• Radiology Clinic/Center in Homer Glen, IL
• Providers in Homer Glen, 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 Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.