Individual
SUDHEER PARUCHURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 N HARLEM AVE STE 100, OAK PARK, IL 60302-1205
(312) 473-4748
(312) 924-5924
Mailing address
420 E. WATERSIDE DRIVE #2912, CHICAGO,IL, IL 60601
(312) 622-7622
(312) 924-5924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036110857
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036110857
IL
Other
Enumeration date
11/02/2005
Last updated
03/27/2017
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