{"npi":"1821045659","type":"NPI-2","status":"active","name":{"display":"Edgebrook Radiology Management","other":[],"organization_name":"EDGEBROOK RADIOLOGY MANAGEMENT","authorised_official":"George Nellamathatil"},"specialty":{"primary_taxonomy":"261QM1200X","primary_taxonomy_description":"Magnetic Resonance Imaging (MRI) Clinic/Center","slug":"magnetic-resonance-imaging-mri-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1200X","description":"Magnetic Resonance Imaging (MRI) Clinic/Center","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2410 S RIVER RD","city":"DES PLAINES","state":"IL","postal_code":"600183201","country_code":"US","phone":"7737746440","fax":"7737744372"},{"purpose":"MAILING","street_1":"PO BOX 7389","city":"PROSPECT HEIGHTS","state":"IL","postal_code":"600707389","country_code":"US","phone":"8478703600","fax":"8478703500"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050614001170","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"IL","pac_id":"3375587934"}]},"enumeration_date":"2006-05-27","last_updated":"2024-08-16","_meta":{"source":"NPPES","snapshot_date":"2024-08-16","doc_url":"https://findmynpi.com/api"}}