Healthcare Provider Details

I. General information

NPI: 1093896110
Provider Name (Legal Business Name): NE ILLINOIS MRI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 S. MILWAUKEE AVE.
VERNON HILLS IL
60061
US

IV. Provider business mailing address

1304 S. MILWAUKEE AVE.
VERNON HILLS IL
60061
US

V. Phone/Fax

Practice location:
  • Phone: 847-634-4674
  • Fax: 847-634-9227
Mailing address:
  • Phone: 847-634-4674
  • Fax: 847-634-9227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name: MR. RICHARD J. NADROWSKI
Title or Position: CEO
Credential:
Phone: 847-634-4674