Active NPI
Niles Open MRI Inc
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Niles, IL
National Provider Identifier
1720211360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- NILES OPEN MRI INC
- Practice address
- 8618 W Golf Rd
Niles, IL 60714-5600 - Phone
- (847) 824-2628
- Fax
- (847) 824-4157
- NPI assigned
- Aug 31, 2009
- Last updated
- Aug 31, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gigy Nellamattathil
- Title
- Director
- Phone
- (847) 824-2628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | IL | Primary |
Addresses
Primary practice location
8618 W Golf Rd
Niles, IL 60714-5600
Mailing address
PO Box 7389
Prospect Heights, IL 60070-7389
Phone (847) 824-2628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120905000368 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8921255423 | Practice locations: Niles, IL |
National Provider Directory
National Provider DirectoryLocations
8618 W Golf Rd
Niles, IL 60714
Phone (847) 824-2628
Practitioners & affiliated clinicians
Practitioners 5
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.
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- Park Ridge, IL
- NPI 1164423687
-
- Diagnostic Radiology Physician
- Evanston, IL
- NPI 1316309537
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1760584312
-
- Diagnostic Radiology Physician
- Newark, DE
- NPI 1083645394
-
- Diagnostic Radiology Physician
- Boca Raton, FL
- NPI 1639172695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251676800000",
"number": "1720211360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7389",
"city": "PROSPECT HEIGHTS",
"state": "IL",
"postal_code": "600707389",
"telephone_number": "847-824-2628",
"fax_number": "847-824-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8618 W GOLF RD",
"city": "NILES",
"state": "IL",
"postal_code": "607145600",
"telephone_number": "847-824-2628",
"fax_number": "847-824-4157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NILES OPEN MRI INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A",
"authorized_official_last_name": "NELLAMATTATHIL",
"authorized_official_first_name": "GIGY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "847-824-2628",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.