Organization
FULLERTON MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENLIN XIA M.D. (PRESIDENT)
(773) 697-8125
Entity
Organization
Contact information
Practice address
3405 W FULLERTON AVE, CHICAGO, IL 60647-2415
(773) 697-8125
(773) 697-8542
Mailing address
3405 W FULLERTON AVE, CHICAGO, IL 60647-2415
(773) 697-8125
(773) 697-8542
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
IL
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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