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Open Mri Of Jacksonville Llc
Radiology Clinic/Center in Jacksonville, Illinois
NPI 1538279104

Open Mri Of Jacksonville Llc is a Radiology Clinic/Center based in Jacksonville, IL and is specialized in Radiology. Open Mri Of Jacksonville Llc practices in Jacksonville, IL. The NPI Number for Open Mri Of Jacksonville Llc is 1538279104 and holds a License No. (Illinois).

The current practice location address for Open Mri Of Jacksonville Llc is 1600 W Walnut St, Jacksonville, IL and can be reached out via phone at 217-245-0650 and via fax at 217-245-0840.

Location: 1600 W Walnut St, Jacksonville, IL, 62650-1136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538279104
Provider Name
Open Mri Of Jacksonville Llc
Credential
Provider Entity Type
Organization
Address
1600 W Walnut St, Jacksonville, IL, 62650-1136
Phone Number
217-245-0650
Fax Number
217-245-0840
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00403181 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-245-0650
Fax Number
217-245-0840
person
Provider Business Mailing Address Details
Address
1600 W Walnut St
City
Jacksonville
State
Illinois
Zip
62650-1136
Phone Number
217-245-0650
Fax Number
217-245-0840
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
(Illinois)
Definition
Definition to come...
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