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Organization
MOLECULAR IMAGING CHICAGO LLC
Active
Organization
MOLECULAR IMAGING CHICAGO LLC
Active
Other names
MAYFAIR ADVANTAGE MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE TUCKER (DIRECTOR)
(630) 755-4327
Entity
Organization
Contact information
Practice address
4351 N CICERO AVE, CHICAGO, IL 60641-1502
(773) 427-1222
(773) 427-1333
Mailing address
3 GRANT SQUARE, SUITE 322, HINSDALE, IL 60521
(630) 325-6300
(630) 214-2362
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/04/2014
Last updated
11/08/2016
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