Fastrad Chicago LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

1230539 Issued in NJ

Legal business name

FASTRAD CHICAGO LLC

Practice address

3553 West Peteson Street
Suite 204
Chicago, IL 60659

Phone

(773) 354-2937

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Jordan Wexler

Title

Member

Phone

(773) 354-2937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1649428301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 WEST PETESON STREET",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-354-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 WEST PETESON STREET",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60659",
            "telephone_number": "773-354-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAD CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "773-354-2937"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NJ",
            "license": "1230539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olalekan Olumuyiwa Fasogbon, PMHNP
• Ofer Fass, MD
• Meghan Lively Fasseas
• Fast and Friendly Transportation LLC
• Jennifer L Fast, PT
• Fastrad LLC
• Kimberly Fasula, RDH, MS, MPH
• Nicolette Gabriella Fata, MPH, RDN, LDN
• Maria Fatah, DDS
• Shaqin Fatak

• Mobile Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; 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.