FULLERTON MRI LLC


Address: 3405 W Fullerton Ave, Chicago, IL 60647-2415
Phone: 7736978125

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 3405 W FULLERTON AVE
City CHICAGO
State IL
Zip Code 60647-2415

Providers in the same location

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

Providers in the same zip code

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
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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...

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60647

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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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