Organization
MAYFAIR ADVANTAGE MRI, INC
Active
Other names
Advantage Imaging of Chicago
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE T NELLAMATTATHIL RT(R) (CT)(MR) (MANAGER)
(847) 533-9029
Entity
Organization
Contact information
Practice address
4351 N CICERO AVE, CHICAGO, IL 60641-1502
(773) 427-1222
(773) 427-1333
Mailing address
4351 N CICERO AVE, CHICAGO, IL 60641-1502
(773) 427-1222
(773) 427-1333
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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