# FALGUNI VASA MD SC

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

## Provider details

- **NPI number:** 1861663692
- **Authorized official:** DR. FALGUNI R VASA (CEO)
- **Authorized official phone:** (630) 848-1332

## Contact information

- **Practice address:** 720 BROM CT, SUITE 204, NAPERVILLE, IL 60540-6531
- **Practice address phone:** (630) 848-1332
- **Practice address fax:** (630) 848-1344
- **Mailing address:** 720 BROM CT, SUITE 204, NAPERVILLE, IL 60540-6531

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 036098874 | IL | Yes |

## Other

- **Enumeration date:** 03/19/2008
- **Last updated:** 06/07/2008