Organization Active NPI

MRI of Chicago, LLC

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1093062051
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MRI OF CHICAGO, LLC
Practice address
3855 N Cicero Ave
Chicago, IL 60641-3623
Phone
(773) 777-2888
Fax
(773) 777-0072
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Aatif U Rahman
Title
Administrator
Phone
(312) 203-2753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

3855 N Cicero Ave
Chicago, IL 60641-3623

Mailing address

3855 N Cicero Ave
Chicago, IL 60641-3623
Phone (773) 777-2888

Other identifiers 1

IdentifierTypeStateIssuer
1528218906OtherILNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1093062051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413623",
            "telephone_number": "773-777-2888",
            "fax_number": "773-777-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413623",
            "telephone_number": "773-777-2888",
            "fax_number": "773-777-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "AATIF",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-203-2753"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528218906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.