Provider Demographics
NPI:1871868265
Name:ACCELERATED OPEN MRI & IMAGING LTD
Entity Type:Organization
Organization Name:ACCELERATED OPEN MRI & IMAGING LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ELKAYYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-534-5411
Mailing Address - Street 1:9645 LINCOLNWAY LN STE 114
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1880
Mailing Address - Country:US
Mailing Address - Phone:815-534-5411
Mailing Address - Fax:815-534-5485
Practice Address - Street 1:9645 LINCOLNWAY LN
Practice Address - Street 2:114
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1866
Practice Address - Country:US
Practice Address - Phone:815-534-5411
Practice Address - Fax:815-534-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILIL7773Medicare UPIN