Organization
FOX VALLEY RADIATION ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASUDHA LINGAREDDY MD (MANAGER PARTNER)
(630) 646-6161
Entity
Organization
Contact information
Practice address
120 SPALDING DR, SUITE 111, NAPERVILLE, IL 60540-6508
(630) 646-6161
(630) 646-6165
Mailing address
1005 SHERINGHAM DR, NAPERVILLE, IL 60565-6111
(630) 357-4286
(630) 416-4741
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2233109
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/18/2006
Last updated
02/05/2008
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