FASTRAD CHICAGO LLC (NPI# 1649428301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649428301 |
| Entity Type | Organization |
| Organization Name | FASTRAD CHICAGO LLC |
| Practice Address |
3553 West Peteson Street Suite 204 Chicago IL 60659 |
| Practice Telephone | 7733542937 |
| Mailing Telephone | 7733542937 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |
| Authorized Official Name | JORDAN WEXLER (MEMBER) |
| Authorized Official Telephone | 7733542937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
1230539 | NJ | Ambulatory Health Care Facilities |
| Street Address |
3553 WEST PETESON STREET SUITE 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326421363 | Medi-ray Portable, Inc | Clinic/Center | 7132 N Harlem Ave Ste 104, Chicago, IL 60631-1086 | 2015-07-08 |
| 1770976979 | Ecuamachines Inc. | Clinic/Center | 3149 S Karlov Ave, Chicago, IL 60623-4818 | 2015-03-11 |
| 1881842961 | Fastrad LLC | Clinic/Center | 6153 N Monticello Ave, Chicago, IL 60659-1112 | 2008-09-03 |
| 1033367248 | Medical Outsourcing Services, LLC | Clinic/Center | 15477 Collection Center Dr, Chicago, IL 60693-0001 | 2008-08-29 |
| 1700048626 | Kenton Diagnostics, Inc | Clinic/Center | 6422 N Western Ave, Chicago, IL 60645-5422 | 2008-07-01 |
| 1720261746 | Medlife Healthcare Inc. | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2007-12-13 |
| 1114117017 | Quality Diagnostic Ultrasound, Corp | Clinic/Center | 4815 W Belle Plaine Ave Apt 209, Chicago, IL 60641-1841 | 2007-07-26 |
| 1306946322 | Universal Portable X-ray Service, Inc. | Clinic/Center | 5630 N Elston Ave, Suite 101, Chicago, IL 60646-6547 | 2006-09-22 |
| 1033166558 | Us Services | Clinic/Center | 6259 W Higgins Ave, Chicago, IL 60630-1846 | 2006-05-29 |
| 1477509966 | H & H Diagnostics, Inc | Clinic/Center | 6348 N Western Ave, Chicago, IL 60659-2010 | 2006-05-26 |
| 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.