Contract Details
Midwest Open MRI
Facility name
Midwest Open MRI
Provider ID
P000003670
NPI
1033349329
Tax ID
364230399
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
8415 West Cermak Rd
North Riverside, IL 60546
United States
County
Cook
Phone
7084431600 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address