Active NPI
Remington Molecular Mayfair LLC
- Diagnostic Radiology Physician
- Chicago, IL
National Provider Identifier
1972293876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- REMINGTON MOLECULAR MAYFAIR LLC
- Practice address
- 11750 S Western Ave
Chicago, IL 60643-4732 - Phone
- (630) 325-6300
- NPI assigned
- May 12, 2023
- 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
- Jennifer Guajardo
- Title
- Director of Operations
- Phone
- (630) 755-4106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
11750 S Western Ave
Chicago, IL 60643-4732
Mailing address
3 Grant SQ Unit 145
Hinsdale, IL 60521-3351
Phone (630) 258-2384
Other practice location 1
3 Grant Sq Unit 145
Hinsdale, IL 60521-3351
Phone (630) 258-2384
Other practice location 2
4351 N Cicero Ave
Chicago, IL 60641-1502
Phone (630) 325-6300
Other names 1
- REMINGTON MOLECULAR BEVERLY LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755216000000",
"number": "1972293876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 GRANT SQ UNIT 145",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213351",
"telephone_number": "630-258-2384",
"fax_number": "630-203-1643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11750 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434732",
"telephone_number": "630-325-6300"
}
],
"practiceLocations": [
{
"address_1": "3 Grant Sq Unit 145",
"address_purpose": "LOCATION",
"city": "Hinsdale",
"state": "IL",
"postal_code": "605213351",
"country_code": "US",
"telephone_number": "630-258-2384",
"fax_number": "630-203-1643",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4351 N Cicero Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606411502",
"country_code": "US",
"telephone_number": "630-325-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REMINGTON MOLECULAR MAYFAIR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-12",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A",
"authorized_official_last_name": "GUAJARDO",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "630-755-4106"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "REMINGTON MOLECULAR BEVERLY LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.