Logan Square MRI

Primary specialty

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

Legal business name

LOGAN SQUARE MRI

Practice address

2008 N Pulaski Rd
Chicago, IL 60639-3767

Phone

(773) 227-3950

Fax

(773) 252-3091

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By 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

Miss Terri Nassar

Title

Manager

Phone

(773) 227-3950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730391434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-227-3950",
            "fax_number": "773-252-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606393767",
            "telephone_number": "773-227-3950",
            "fax_number": "773-252-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN SQUARE MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-227-3950",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Logan Square Medical Institute SC
• Logan Square Supportive Living LLC
• Logan Square Surgery Center
• Logan Square Surgery Center Corp
• Logan Square Urgent Care Center Corporation
• Charles Logan, MD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Chicago, IL
• Providers in Chicago, 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 Aug 22, 2020; 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.