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
—
—
Other
Enumeration date
08/04/2014
Last updated
11/08/2016
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