FULTON MARKET MRI LLC


Address: 559 W Kinzie St, Chicago, IL 60654-5702
Phone: 3123351155

FULTON MARKET MRI LLC (NPI# 1205379229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205379229
Entity Type Organization
Organization Name FULTON MARKET MRI LLC
Practice Address 559 W Kinzie St
Chicago
IL 60654-5702
Practice Telephone 3123351155
Enumeration Date 2016-11-22
Last Update Date 2016-11-22
Authorized Official Name KRISTY MCGILL (DIRECTOR OF NETWORK DEVELOPMENT)
Authorized Official Telephone 9722157410
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Office Location

Street Address 559 W KINZIE ST
City CHICAGO
State IL
Zip Code 60654-5702

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1881954311 Chicago Upright Mri, LLC Clinic/Center 22 N Morgan St, Unit 105, Chicago, IL 60607-2606 2012-05-17
1821045659 Edgebrook Radiology Management Clinic/Center 5320 W Devon Ave, Chicago, IL 60646-4108 2006-05-27
1316949886 Premier Health Services, Inc Clinic/Center 559 West Kinzie, Chicago, IL 60654 2005-08-13
1255732061 Highpoint Open Mri of Chicago, LLC Clinic/Center 3855 N Cicero Ave, Chicago, IL 60641-3623 2014-09-11
1669881686 Molecular Imaging Chicago LLC Clinic/Center 4351 N Cicero Ave, Chicago, IL 60641-1502 2014-08-04
1982014064 Mayfair Advantage Mri, Inc Clinic/Center 4351 N Cicero Ave, Chicago, IL 60641-1502 2014-04-29
1881027860 Illinois Imaging, Inc. Clinic/Center 4044 N Lincoln Ave, Suite 377, Chicago, IL 60618-3038 2013-08-14
1477886034 Fullerton Mri LLC Clinic/Center 3405 W Fullerton Ave, Chicago, IL 60647-2415 2009-09-15
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Competitor

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City CHICAGO
Zip Code 60654

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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