Organization
ADVANCED VASCULAR INSTITUTE & CANCER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHEER PARUCHURI MD (OWNER)
(312) 622-7622
Entity
Organization
Contact information
Practice address
1515 N HARLEM AVE, SUITE 100, OAK PARK, IL 60302-1250
(312) 473-4748
(312) 924-5924
Mailing address
900 OAKMONT LN, SUITE 400, WESTMONT, IL 60559-5530
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
02/02/2017
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