ILLINI OPEN MRI, LLC
NPI 1417950437
Clinic/Center - Magnetic Resonance Imaging (MRI) in Champaign, IL

Active since May 23, 2005
2147 S NEIL ST, CHAMPAIGN, IL 61820(217) 359-8339(217) 359-9833 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Illini Open Mri, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINI OPEN MRI, LLC (NPI 1417950437) is a healthcare organization registered as a magnetic resonance imaging (mri) in Champaign, Illinois and active in the NPI registry since May 2005. The organization lists Michelle Douglas, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1417950437
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameILLINI OPEN MRI, LLC
Location Address2147 S NEIL STChampaign, IL 61820-7593
Mailing Address2147 S Neil StChampaign, IL 61820-7593 · (217) 359-8339 · Fax (217) 359-9833
Fax(217) 359-9833
Organization SubpartNo
Authorized OfficialMichelle DouglasCredentialing Manager · (502) 403-1401
Enumeration DateMay 23, 2005
Last NPPES UpdateJune 12, 2008
NPI 1417950437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
2147 S NEIL ST, Champaign, IL 61820

Other Identifiers 2

Medicaid=========001IL
Medicare PIN702900IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Illini Open Mri, LLC's NPI number?

The NPI number for Illini Open Mri, LLC is 1417950437. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Illini Open Mri, LLC located?

Illini Open Mri, LLC is located at 2147 S Neil St, Champaign, IL 61820. The listed phone number is (217) 359-8339.

What is Illini Open Mri, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

When was this NPI record last updated?

The NPPES record for Illini Open Mri, LLC was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.