Active NPI
Midwest Medical Imaging LLC
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Orland Park, IL
National Provider Identifier
1801920046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Legal business name
- MIDWEST MEDICAL IMAGING LLC
- Practice address
- 14315 108TH Ave
Suite 122
Orland Park, IL 60467-5700 - Phone
- (708) 873-0800
- Fax
- (708) 873-9987
- NPI assigned
- Mar 16, 2007
- 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
- Mr. Paul J Dudek
- Title
- Managing Partner
- Phone
- (708) 873-0800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging (MRI) Clinic/Center | 261QM1200X | IL | Primary |
Addresses
Primary practice location
14315 108TH Ave
Suite 122
Orland Park, IL 60467-5700
Mailing address
14315 108TH Ave
Suite 122
Orland Park, IL 60467-5700
Phone (708) 873-0800
Other names 1
- ORLAND OPEN MRI
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801920046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14315 108TH AVE",
"address_2": "SUITE 122",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675700",
"telephone_number": "708-873-0800",
"fax_number": "708-873-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14315 108TH AVE",
"address_2": "SUITE 122",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675700",
"telephone_number": "708-873-0800",
"fax_number": "708-873-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST MEDICAL IMAGING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUDEK",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "708-873-0800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ORLAND OPEN MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
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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.