Northern Open MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

NORTHERN OPEN MRI LLC

Practice address

1955 Dekalb Ave
Sycamore, IL 60178-3107

Phone

(817) 754-4100

Fax

(815) 754-4141

NPI assigned

May 22, 2006

Last updated

Jul 21, 2022By 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

Panna Goswami, M.D.

Title

Owner

Phone

(815) 754-4100

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Future Diagnostics Group LLC

  • Diagnostic Ultrasound Physician
  • Joliet, IL
  • NPI 1437231560

  Member Of

  NPD member

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710932645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783107",
            "telephone_number": "817-754-4100",
            "fax_number": "815-754-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 DEKALB AVE",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783107",
            "telephone_number": "817-754-4100",
            "fax_number": "815-754-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OPEN MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOSWAMI",
        "authorized_official_first_name": "PANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-754-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.