MATTESON MRI INC (NPI# 1639451297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639451297 |
| Entity Type | Organization |
| Organization Name | MATTESON MRI INC |
| Practice Address |
4801 Southwick Dr Suite 101 Matteson IL 60443-2254 |
| Practice Telephone | 7084819300 |
| Practice Fax Number | 7084819320 |
| Mailing Telephone | 7084819300 |
| Mailing Fax Number | 7084819320 |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2011-12-02 |
| Authorized Official Name | TERRI NASSAR (MANAGER) |
| Authorized Official Telephone | 7084819300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Street Address |
4801 SOUTHWICK DR SUITE 101 |
| City | MATTESON |
| State | IL |
| Zip Code | 60443-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932237567 | Leigh James Griffith | Physical Therapist | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2007-03-02 |
| 1881209096 | Darren Bingham | Social Worker | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-09-14 |
| 1457976896 | Natasha Harris | Counselor | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-06-11 |
| 1316560584 | Michael J Hodges | Social Worker | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-05-22 |
| 1023631223 | Adilene Villa | Case Manager/Care Coordinator | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-05-21 |
| 1215550587 | Anna Nicole Nokes | Social Worker | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-05-21 |
| 1457989386 | Louis Green | Case Manager/Care Coordinator | 4801 Southwick Dr, Matteson, IL 60443-2254 | 2020-03-27 |
| 1518145507 | Michael Brunsting | Physical Therapy Assistant | 4801 Southwick Dr, 5th Floor, Matteson, IL 60443-2254 | 2008-02-01 |
| 1538350681 | Edgebrook Radiology Management Services, Inc | Clinic/Center | 4801 Southwick Dr, Suite 101, Matteson, IL 60443-2254 | 2007-08-05 |
| 1366640971 | Cure Home Health Care Services Corporation | Home Health | 4801 Southwick Dr, Ste 603, Matteson, IL 60443-2254 | 2007-07-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642497 | Natalie Donyelle Mitchell | Psychologist | 6202 Vollmer Rd Colin Powell Middle School, Elementary Sd 159, Matteson, IL 60443 | 2019-07-31 |
| 1881199909 | Christopher Anthony Smith | Student in an Organized Health Care Education/Training Program | 5660 Woodgate Dr, Matteson, IL 60443 | 2018-03-29 |
| 1336695253 | Renato Leano | Physical Therapist | 21020 Kostner Avenue, Matteson, IL 60443 | 2016-08-31 |
| 1669826657 | Heredeshee Latrice Taylor | Nurse Practitioner | 3201 Holden Cir, Matteson, IL 60443 | 2016-04-16 |
| 1366713125 | Rosanne Miller Tadsen | Counselor | 6201 Vollmer Rd, Matteson, IL 60443 | 2012-01-25 |
| 1598063281 | Sheri Temple | Occupational Therapist | 3906 212th Place, Matteson, IL 60443 | 2011-03-04 |
| 1013247576 | Sheila M. Pijus | Counselor | 336 Tullamore Ter., Matteson, IL 60443 | 2010-01-06 |
| 1962731190 | Benita Yvette Norwoord | Counselor | 600 Holiday Plaza, Matteson, IL 60443 | 2009-12-17 |
| 1386881654 | Reliance Home Health Services, Inc. | Home Health | 4350 W. Lincoln Hwy #210, Reliance Home Health Services, Inc., Matteson, IL 60443 | 2009-01-08 |
| 1518139286 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 5640 211th St., Matteson, IL 60443 | 2008-04-02 |
| Find all providers in zip 60443 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295385284 | St. Elizabeth's Hospital of The Hospital Sisters of The Third Order | Clinic/Center | 1512 N Green Mount Rd Ste 103, O Fallon, IL 62269-2083 | 2019-09-12 |
| 1326516584 | Loretto Hospital | Clinic/Center | 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 | 2018-11-06 |
| 1164969838 | Smart Choice Mri, LLC | Clinic/Center | 850 N Milwaukee Ave Ste 103, Vernon Hills, IL 60061-1553 | 2017-01-19 |
| 1417491655 | Smart Choice Mri LLC | Clinic/Center | 757 E Boughton Rd, Bolingbrook, IL 60440-2281 | 2016-12-07 |
| 1205379229 | Fulton Market Mri LLC | Clinic/Center | 559 W Kinzie St, Chicago, IL 60654-5702 | 2016-11-22 |
| 1477003267 | Smart Choice Mri, LLC | Clinic/Center | 2752 Us Highway 34, Oswego, IL 60543 | 2016-10-05 |
| 1104376987 | Smart Choice Mri, LLC | Clinic/Center | 2830 S Highland Ave Unit 9, Lombard, IL 60148-7135 | 2016-10-05 |
| 1922461664 | Smart Choice Mri, LLC | Clinic/Center | 1850 N Clybourn Ave, Chicago, IL 60614-8048 | 2016-03-31 |
| 1144695511 | Smart Choice Mri, LLC | Clinic/Center | 3560 Touhy Avenue, Skokie, IL 60076-6218 | 2015-12-10 |
| 1598130635 | Smart Choice Mri LLC | Clinic/Center | 1406 N Meacham Rd, Schaumburg, IL 60173-4808 | 2015-12-01 |
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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.