Organization
ADVANCED IMAGING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHEER PARUCHURI MD (OWNER)
(312) 622-7622
Entity
Organization
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(630) 929-3034
Mailing address
900 OAKMONT LN, 400, WESTMONT, IL 60559-5530
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
03/20/2015
Last updated
12/02/2020
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