OrganizationActive
4365 Archer Mri, LLC
NPI 1265765218 · Magnetic Resonance Imaging (MRI) Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1265765218
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Marvin Tazelaar, Manager
- License
- 1959633 (IL)
Practice location
4365 South Archer Avenue
Chicago, IL 60632
Phone: (773) 299-1071
Fax: (773) 299-1074
Mailing address
Po Box 7389
Prospect Heights, IL 60070-7389
Registry dates
- Enumerated
- 2009-09-09
- Last updated
- 2009-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.