# ADVANCED VASCULAR INSTITUTE & CANCER CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073980983
- **Authorized official:** SUDHEER PARUCHURI MD (OWNER)
- **Authorized official phone:** (312) 622-7622

## Contact information

- **Practice address:** 1515 N HARLEM AVE, SUITE 100, OAK PARK, IL 60302-1250
- **Practice address phone:** (312) 473-4748
- **Practice address fax:** (312) 924-5924
- **Mailing address:** 900 OAKMONT LN, SUITE 400, WESTMONT, IL 60559-5530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2015
- **Last updated:** 02/02/2017