Organization
ADVANCED IMAGING SERVICES
Active
Parent organization
ADVANCED IMAGING SERVICES
Other names
Advanced Imaging Services South Shore Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED IMAGING SERVICES
Authorized official
SUDHEER PARUCHURI (OWNER)
(312) 622-7622
Entity
Organization
Contact information
Practice address
8012 S CRANDON AVE, CHICAGO, IL 60617-1124
(773) 356-5000
Mailing address
PO BOX 7230, WESTCHESTER, IL 60154-7230
(773) 356-5000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
09/14/2018
Last updated
07/18/2024
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