Mayfair Advantage MRI, Inc

Primary specialty

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

Legal business name

MAYFAIR ADVANTAGE MRI, INC

Doing business as

Advantage Imaging of Chicago

Practice address

4351 N Cicero Ave
Chicago, IL 60641-1502

Phone

(773) 427-1222

Fax

(773) 427-1333

NPI assigned

Apr 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. George T Nellamattathil, RT(R) (CT)(MR)

Title

Manager

Phone

(847) 533-9029

Specialties & licenses 1

Addresses

Other names 1

• Advantage Imaging of Chicago Doing business as

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1982014064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411502",
            "telephone_number": "773-427-1222",
            "fax_number": "773-427-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 N CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411502",
            "telephone_number": "773-427-1222",
            "fax_number": "773-427-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFAIR ADVANTAGE MRI, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "NELLAMATTATHIL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-533-9029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R) (CT)(MR)"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Imaging of Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angelique Mayes, LCSW
• David Kevin Mayes, D.D.S.
• Mary Jo Mayes, LPC
• Tracy James Mayes, MA LCPC
• Zerek Mayes, MSW, LCSW, EDD
• Mayfair Familycare SC
• Mayfield Care and Rehabilitation Center LLC
• Mayfield Care Center LLC
• Mayfield Care Center, Inc.
• Cameron Lee Mayfield

• 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 Apr 29, 2014; 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.