Organization
MRI OF CHICAGO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AATIF U RAHMAN (ADMINISTRATOR)
(312) 203-2753
Entity
Organization
Contact information
Practice address
3855 N CICERO AVE, CHICAGO, IL 60641-3623
(773) 777-2888
(773) 777-0072
Mailing address
3855 N CICERO AVE, CHICAGO, IL 60641-3623
(773) 777-2888
(773) 777-0072
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528218906
NPI
IL
Enumeration date
08/09/2012
Last updated
08/09/2012
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