# MOLECULAR IMAGING CHICAGO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAYFAIR ADVANTAGE MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669881686
- **Authorized official:** MS. STEPHANIE TUCKER (DIRECTOR)
- **Authorized official phone:** (630) 755-4327

## Contact information

- **Practice address:** 4351 N CICERO AVE, CHICAGO, IL 60641-1502
- **Practice address phone:** (773) 427-1222
- **Practice address fax:** (773) 427-1333
- **Mailing address:** 3 GRANT SQUARE, SUITE 322, HINSDALE, IL 60521
- **Mailing address phone:** (630) 325-6300
- **Mailing address fax:** (630) 214-2362

## Taxonomy

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

## Other

- **Enumeration date:** 08/04/2014
- **Last updated:** 11/08/2016