MEDICARE: FULLERTON MRI 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	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center		IL

General Provider Information

NPI Number	:	1477886034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FULLERTON MRI LLC

Provider Business Mailing Address
First Line	:	3405 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2415
Country	:	US
Telephone Number	:	773-697-8125
Fax Number	:	773-697-8542

Provider Business Practice Location Address
First Line	:	3405 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2415
Country	:	US
Telephone Number	:	773-697-8125
Fax Number	:	773-697-8542

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RENLIN XIA
Credential	:	M.D.
Telephone Number	:	773-697-8125

Provider Enumeration Date	:	09/15/2009
Last Update Date	:	09/15/2009

Similar Medicare Providers

1740304757 — FULLERTON OCCUPATIONAL MEDICINE & IMMEDIATE CARE SC
Practice Location Address:

3409 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 773-486-5001
Practice Fax:

1043436389 — MS. VALERIA L. WILLIAMS NP
Practice Location Address:

3409 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 773-486-5001
Practice Fax: 773-486-5020

1285803486 — LEGEND HOME HEALTH LLC
Practice Location Address:

3405 W FULLERTON AVE , 2ND FLOOR
CHICAGO, IL
60647-2415

Practice Phone: 773-278-0100
Practice Fax: 773-278-0111

1669216867 — SUNROOM PSYCHIATRY PLLC
Practice Location Address:

3429 W FULLERTON AVE
CHICAGO, IL
60647-2415

Practice Phone: 708-824-7807
Practice Fax:

1336125475 — DR. RICK DOUGLAS VACCARELLO D.D.S.
Practice Location Address:

1504 W NORWOOD ST
CHICAGO, IL
60660-2415

Practice Phone: 773-293-7986
Practice Fax:

1710055520 — DR. JOHN MICHAEL PALEN M.S., PH.D.
Practice Location Address:

5445 N SHERIDAN RD APT 2415
CHICAGO, IL
60640-7471

Practice Phone: 847-219-1877
Practice Fax:

Directions to “FULLERTON MRI 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.