# FULTON MARKET MRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205379229
- **Authorized official:** KRISTY MCGILL (DIRECTOR OF NETWORK DEVELOPMENT)
- **Authorized official phone:** (972) 215-7410

## Contact information

- **Practice address:** 559 W KINZIE ST, CHICAGO, IL 60654-5702
- **Practice address phone:** (312) 335-1155
- **Mailing address:** 559 W KINZIE ST, CHICAGO, IL 60654-5702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2016
- **Last updated:** 11/22/2016