| NPI | 1205943636 |
|---|---|
| Doing Business As | WIDE OPEN MRI |
| Entity Type | Organization |
| Authorized Contact | GAELANE ROSINSKI Contracting/Credentialing Specialis 847-658-0996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |