FULLERTON MRI LLC (NPI# 1477886034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477886034 |
Entity Type | Organization |
Organization Name | FULLERTON MRI LLC |
Practice Address |
3405 W Fullerton Ave Chicago IL 60647-2415 |
Practice Telephone | 7736978125 |
Practice Fax Number | 7736978542 |
Mailing Telephone | 7736978125 |
Mailing Fax Number | 7736978542 |
Enumeration Date | 2009-09-15 |
Last Update Date | 2009-09-15 |
Authorized Official Name | RENLIN XIA (PRESIDENT) |
Authorized Official Telephone | 7736978125 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
IL | Ambulatory Health Care Facilities |
Street Address |
3405 W FULLERTON AVE |
City | CHICAGO |
State | IL |
Zip Code | 60647-2415 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285803486 | Legend Home Health LLC | Home Health | 3405 W Fullerton Ave, 2nd Floor, Chicago, IL 60647-2415 | 2008-02-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035879 | Scott Spine and Health LLC | Chiropractor | 2560 W. Armitage Ave, Unit C2, Chicago, IL 60647 | 2020-08-24 |
1003424458 | Emily Gleesing | Physical Therapist | 1923 N Western Ave, Chicago, IL 60647 | 2020-07-21 |
1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
1740772342 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 3n, Chicago, IL 60647 | 2018-05-31 |
1992297535 | Envision Unlimited | Case Management | 2646 N Washtenaw Ave # 2n, Chicago, IL 60647 | 2018-05-30 |
1942704580 | Team Rehabilitation Il15, LLC | Physical Therapist | 1923 N Western Avenue, Chicago, IL 60647 | 2018-03-20 |
1023517331 | Chicago Medical Healthcare Group, S.c. | Family Medicine | 3648 W Armitage Avenue, Chicago, IL 60647 | 2018-02-02 |
1023537693 | Erin Frommeyer | Physician Assistant | 2228 W Dickens Avenue, Chicago, IL 60647 | 2017-09-15 |
1457872475 | Stefanie Paola Maurtua | Behavioral Analyst | 2448 West Bloomingdale Ave., Apt 2e, Chicago, IL 60647 | 2017-06-29 |
1700322922 | Lumen Optical Illinois 4, LLC | Optometrist | 2420 N Elston, Bucktown, IL 60647 | 2017-01-11 |
Find all providers in zip 60647 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326516584 | Loretto Hospital | Clinic/Center | 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 | 2018-11-06 |
1205379229 | Fulton Market Mri LLC | Clinic/Center | 559 W Kinzie St, Chicago, IL 60654-5702 | 2016-11-22 |
1922461664 | Smart Choice Mri, LLC | Clinic/Center | 1850 N Clybourn Ave, Chicago, IL 60614-8048 | 2016-03-31 |
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 |
Find all providers in CHICAGO |
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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.