Fulton Market Mri LLC

NPI #1205379229 in Chicago, Illinois

Provider Information

NPI Number: 1205379229
Entity Type: Organization
Organization Name: Fulton Market Mri LLC
Primary Specialty: Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date: Nov 22, 2016
Last Updated: Nov 22, 2016

Practice Location

Address: 559 W KINZIE ST
City: Chicago
State: Illinois
ZIP Code: 60654-5702
Phone: (312) 335-1155

Authorized Official

Name: KRISTY MCGILL
Title: DIRECTOR OF NETWORK DEVELOPMENT
Phone: (972) 215-7410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI)	261QM1200X	Primary

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