=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871868265
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACCELERATED OPEN MRI & IMAGING LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/19/2012
-----------------------------------------------------
Last Update Date | 03/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9645 LINCOLNWAY LN 114
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60423-1866
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-534-5411
-----------------------------------------------------
Fax | 815-534-5485
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9645 LINCOLNWAY LN STE 114
-----------------------------------------------------
City | FRANKFORT
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60423-1880
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 815-534-5411
-----------------------------------------------------
Fax | 815-534-5485
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JIHAD ELKAYYAL
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 815-534-5411
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1200X
-----------------------------------------------------
Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------