MEDICARE: ADVANTAGE MRI-LOGAN SQUARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1467408872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE MRI-LOGAN SQUARE, LLC

Provider Business Mailing Address
First Line	:	2008 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-3767
Country	:	US
Telephone Number	:	773-227-9777
Fax Number	:	773-227-9888

Provider Business Practice Location Address
First Line	:	2008 N PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60639-3767
Country	:	US
Telephone Number	:	773-227-9777
Fax Number	:	773-227-9888

Authorized Official
Title or Position	:	DIRECTOR
Name	:	HAIFA SHARIFEH
Credential	:
Telephone Number	:	737-728-8767

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	08/04/2020

Similar Medicare Providers

1790773992 — DR. OTTO R GARCIA MONTENEGRO M.D.
Practice Location Address:

2004 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-772-8876
Practice Fax: 773-252-3091

1477570299 — ABDULGHANY TABBARA M.D.
Practice Location Address:

2004 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-772-8876
Practice Fax: 773-252-3091

1700973997 — SHARIF PHARMACY INC
Practice Location Address:

2004 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-227-1211
Practice Fax: 773-227-3255

1528110392 — DR. MARTHA MARIA KACHMARYK MD
Practice Location Address:

2004 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-772-8876
Practice Fax: 773-252-8091

1053466797 — DR. HENRY GONZALES D.P.M.
Practice Location Address:

2008 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-968-6942
Practice Fax:

1730391434 — LOGAN SQUARE MRI
Practice Location Address:

2008 N PULASKI RD
CHICAGO, IL
60639-3767

Practice Phone: 773-227-3950
Practice Fax: 773-252-3091

Directions to “ADVANTAGE MRI-LOGAN SQUARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.