LOGAN SQUARE MRI (NPI# 1730391434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730391434 |
| Entity Type | Organization |
| Organization Name | LOGAN SQUARE MRI |
| Practice Address |
2008 N Pulaski Rd Chicago IL 60639-3767 |
| Practice Telephone | 7732273950 |
| Practice Fax Number | 7732523091 |
| Mailing Telephone | 7732273950 |
| Mailing Fax Number | 7732523091 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS TERRI NASSAR (MANAGER) |
| Authorized Official Telephone | 7732273950 |
| 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 |
| Street Address |
2008 N PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60639-3767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467408872 | Advantage Mri-logan Square, LLC | Radiology | 2008 N Pulaski Rd, Chicago, IL 60639-3767 | 2006-05-26 |
| 1053466797 | Henry Gonzales | Podiatrist | 2008 N Pulaski Rd, Chicago, IL 60639-3767 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293801 | Wh Il Dental Pllc | Dentist | 18086 N. Kilpatrick Ave., Chicago, IL 60639 | 2020-10-21 |
| 1568012375 | Ellen E Cox | Physical Therapist | 4369 W Diversey Ave, Chicago, IL 60639 | 2019-09-13 |
| 1306379268 | Michael Duarte | Family Medicine | 4417 W Diversey Ave, Chicago, IL 60639 | 2017-04-07 |
| 1013464593 | Ismile Dental | Dentist | 4953 West Fullerton Ave, Chicago, IL 60639 | 2016-09-01 |
| 1952773566 | Flor Cortes | Pharmacist | 4626 W Diversey, Chicago, IL 60639 | 2015-10-22 |
| 1205178654 | The Head Injury Center for Prevention and Community | Case Management | 1732 N. Narragansett Ave, Chicago, IL 60639 | 2013-03-25 |
| 1013299262 | Aamer Arboleda | Pharmacist | 1606 N. Mobile Ave., Chicago, IL 60639 | 2011-09-14 |
| 1295037927 | Mary Veronica Galiotto | Pharmacist | 2920 N Narragansett, Chicago, IL 60639 | 2010-12-01 |
| 1295067478 | Galileo Optical Co. | Eyewear Supplier (Equipment, not the service) | 5759 W. Fullerton, Chicago, IL 60639 | 2010-02-12 |
| 1831424548 | Sonrisa Family Dental At The Hall, P.C. | Dentist | 4608 A & B West Diversey Avenue, Chicago, IL 60639 | 2009-10-14 |
| Find all providers in zip 60639 | ||||
| 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.