# MAYFAIR ADVANTAGE MRI, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advantage Imaging of Chicago
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982014064
- **Authorized official:** MR. GEORGE T NELLAMATTATHIL RT(R) (CT)(MR) (MANAGER)
- **Authorized official phone:** (847) 533-9029

## 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:** 4351 N CICERO AVE, CHICAGO, IL 60641-1502
- **Mailing address phone:** (773) 427-1222
- **Mailing address fax:** (773) 427-1333

## Taxonomy

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

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 04/29/2014