Active NPI
MRI of Chicago, LLC
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1093062051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528218906 | Other | IL | NPI |
National Provider Directory
National Provider DirectoryNPI 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.