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Mayfair Advantage Mri, INC

Clinic/Center, Magnetic Resonance Imaging (MRI) in Chicago, IL. Organization (NPI-2).

NPI number1982014064
StatusActive
Last updated in NPPESApr 29, 2014

Details

NPI
1982014064
Entity type
Organization (NPI-2)
Legal business name
Mayfair Advantage Mri, INC
Organization subpart
No
Enumeration date
Apr 29, 2014
Last updated
Apr 29, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)––Yes

Other names

  • Advantage Imaging Of Chicago (Doing Business As)

Practice location

4351 N Cicero Ave
Chicago, IL 60641-1502

Phone 773-427-1222 · Fax 773-427-1333

Mailing address

4351 N Cicero Ave
Chicago, IL 60641-1502

Phone 773-427-1222 · Fax 773-427-1333

Authorized official

George T Nellamattathil
Manager
8475339029

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