Chicago Medical Imaging Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

CHICAGO MEDICAL IMAGING INC

Practice address

8618 W Golf Rd
Niles, IL 60714-5600

Phone

(847) 824-2628

Fax

(847) 824-4157

NPI assigned

Jun 4, 2014

Last updated

Jun 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Nellamattathil

Title

Director

Phone

(847) 824-2628

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1083027387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-824-2628",
            "fax_number": "847-824-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8618 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145600",
            "telephone_number": "847-824-2628",
            "fax_number": "847-824-4157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "NELLAMATTATHIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-824-2628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magnetic Resonance Imaging (MRI) Clinic/Center in Niles, IL
• Providers in Niles, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.