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EDGEBROOK OPEN MRI INC
NPI 1851649974
Clinic/Center - Radiology in Chicago, IL

Active since August 21, 2012
5320 W DEVON AVE, CHICAGO, IL 60646(773) 774-6440(773) 774-4372 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Radiology

About EDGEBROOK OPEN MRI INC

This page provides the complete NPI Profile along with additional information for Edgebrook Open Mri Inc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1851649974 assigned on August 2012. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Terri Nassar (Manager)

NPI
1851649974 Verify this NPI
Provider Name
EDGEBROOK OPEN MRI INC
Entity Type
Organization
Location Address
5320 W DEVON AVE CHICAGO, IL 60646
Location Phone
(773) 774-6440
Location Fax
(773) 774-4372
Mailing Address
5320 W DEVON AVE CHICAGO, IL 60646
Mailing Phone
(773) 774-6440
Mailing Fax
(773) 774-4372
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2012
Last Update Date
08-21-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERRI NASSAR

Authorized Official Title
MANAGER
Authorized Official Phone
(708) 481-9300

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Frequently Asked Questions

What is EDGEBROOK OPEN MRI INC's NPI number?

The NPI number assigned to this healthcare provider is 1851649974, enumerated as an "organization" on August 21, 2012.

Where is the provider located?

The provider is located at 5320 W DEVON AVE CHICAGO, IL 60646 and the phone number is (773) 774-6440.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.