Edgebrook Open MRI Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

EDGEBROOK OPEN MRI INC

Practice address

5320 W Devon Ave
Chicago, IL 60646-4108

Phone

(773) 774-6440

Fax

(773) 774-4372

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Terri Nassar

Title

Manager

Phone

(708) 481-9300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1851649974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-774-6440",
            "fax_number": "773-774-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-774-6440",
            "fax_number": "773-774-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEBROOK OPEN MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-481-9300"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgar Rios M.D., S.C
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• Alissa Ann Edge, MA, LCPC
• Edgebrook Chiropractic Health Center
• Edgebrook Foot & Ankle Clinic, Inc
• Edgebrook Vision Center LLC
• Robert Reynolds Edger, MD
• Cole Dreskin Edgerton
• Edgewater Beach Foot and Ankle Center, P.C.
• Edgewater Chiropractic LLC

• Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Aug 21, 2012; 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.