MOLECULAR IMAGING CHICAGO LLC (NPI# 1669881686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669881686 |
| Entity Type | Organization |
| Organization Name | MOLECULAR IMAGING CHICAGO LLC |
| Other Organization Name | MAYFAIR ADVANTAGE MRI |
| Practice Address |
4351 N Cicero Ave Chicago IL 60641-1502 |
| Mailing Address |
3 Grant Square Suite 322 Hinsdale IL 60521 |
| Practice Telephone | 7734271222 |
| Practice Fax Number | 7734271333 |
| Mailing Telephone | 6303256300 |
| Mailing Fax Number | 6302142362 |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | MS. STEPHANIE TUCKER (DIRECTOR) |
| Authorized Official Telephone | 6307554327 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MAYFAIR ADVANTAGE MRI | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306138920 | Molecular Imaging Chicago LLC | Clinic/Center | 230 E Ogden Ave Ste 100, Hinsdale, IL 60521-2460 | 2011-05-16 |
| 1457738155 | Molecular Imaging Chicago LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4932 W 95th St, Oak Lawn, IL 60453-2504 | 2015-05-01 |
| 1053798751 | Molecular Imaging Chicago LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14315 108th Ave, Suite 122, Orland Park, IL 60467-1006 | 2015-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MOLECULAR IMAGING CHICAGO LLC | 3 Grant Sq #322, Hinsdale, Illinois 60521 |
| Street Address |
4351 N CICERO AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641-1502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053309377 | Regional Diagnostics, LLC | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2005-10-11 |
| 1982014064 | Mayfair Advantage Mri, Inc | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2014-04-29 |
| 1790986388 | Advantage Imaging, LLC | Radiology | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2007-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| 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 |
| 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 |
| 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.