ADVANCED VASCULAR INSTITUTE & CANCER CARE (NPI# 1073980983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073980983 |
| Entity Type | Organization |
| Organization Name | ADVANCED VASCULAR INSTITUTE & CANCER CARE |
| Practice Address |
1515 N Harlem Ave Suite 100 Oak Park IL 60302-1250 |
| Mailing Address |
900 Oakmont Ln Suite 400 Westmont IL 60559-5530 |
| Practice Telephone | 3124734748 |
| Practice Fax Number | 3129245924 |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | SUDHEER PARUCHURI (OWNER) |
| Authorized Official Telephone | 3126227622 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1515 N HARLEM AVE SUITE 100 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60302-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306951405 | Joseph M Burbick | Dentist | 1515 N Harlem Ave, Suite 200, Oak Park, IL 60302-1250 | 2006-08-20 |
| 1679193999 | Healthcare for Women LLC | Obstetrics & Gynecology | 1515 N Harlem Ave, Oak Park, IL 60302-1250 | 2020-04-17 |
| 1659729838 | Sheila Harris-fitzpatrick | Counselor | 1515 N Harlem Ave, Suite 302, Oak Park, IL 60302-1250 | 2016-05-29 |
| 1285099358 | Tiffany Marie Everage | Counselor | 1515 N Harlem Ave, Oak Park, IL 60302-1250 | 2015-12-16 |
| 1114269644 | Simone Joanne Joseph | Chiropractor | 1515 N Harlem Ave, Suite 111, Oak Park, IL 60302-1250 | 2013-03-22 |
| 1144555350 | Mitchell Chandler Sandy | Psychologist | 1515 N Harlem Ave, Suite 304, Oak Park, IL 60302-1250 | 2009-10-05 |
| 1609012293 | Kathryn L Wilford | Counselor | 1515 N Harlem Ave, Suite 304, Oak Park, IL 60302-1250 | 2009-01-02 |
| 1740431279 | Thresholds West Suburbs | Community/Behavioral Health | 1515 N Harlem Ave, Oak Park, IL 60302-1250 | 2008-10-02 |
| 1649439662 | Helen Ann Jonas | Student in an Organized Health Care Education/Training Program | 1515 N Harlem Ave, Suite 304, Oak Park, IL 60302 | 2008-06-05 |
| 1619136769 | Nora Mariduena | Student in an Organized Health Care Education/Training Program | 1515 N Harlem Ave, Suite 304, Oak Park, IL 60302-1205 | 2008-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473244 | Tasha Kimberly Young | Counselor | 1216 N Austin Bvld, Oak Park, IL 60302 | 2020-03-23 |
| 1306492186 | Camiesa Rashida Rogers | Pharmacy Technician | 626 N Austin #7, Oak Park, IL 60302 | 2019-08-16 |
| 1326603887 | Right Choice Therapy LLC | Social Worker | 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 | 2019-05-09 |
| 1407328941 | Arundathi Bannur Suresh | Occupational Therapist | 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 | 2018-12-21 |
| 1427537455 | Shannon Vogel | Occupational Therapist | 405 Home Ave Apt 207, Oak Park, IL 60302 | 2018-08-10 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1649783143 | Mary Joyce Arenas Lagatao | Nurse Practitioner | 101 Madison St, 3rd Floor, Oak Park, IL 60302 | 2017-11-07 |
| 1427578251 | Amanda Lam | Behavior Technician | 721 South Blvd., Suite 210, Oak Park, IL 60302 | 2017-06-22 |
| 1649790577 | Samantha Lotti | Acupuncturist | 1119 Pleasant St, Oak Park, IL 60302 | 2017-06-21 |
| 1770010480 | Robert Smith IIi | Behavior Technician | 412a S. Taylor Ave, Oak Park, IL 60302 | 2017-05-12 |
| Find all providers in zip 60302 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1659930998 | Howard Simon Md PC | Radiology | 446 E Ontario St Ste 106, Chicago, IL 60611-7110 | 2019-06-11 |
| 1982119319 | Vein and Vascular Centers, Sc | Radiology | 7 N Grant St Ste 1, Hinsdale, IL 60521-3366 | 2017-12-07 |
| 1114438769 | Advanced Midwest Interventional Radiology, LLC | Radiology | 1890 Silver Cross Blvd Ste 455, New Lenox, IL 60451-9546 | 2017-10-21 |
| 1528440690 | Tarek Jazmati | Radiology | 1653 W Congress Pkwy # 181, Chicago, IL 60612-3833 | 2015-06-24 |
| 1316351232 | Smg Billing, LLC | Radiology | 1105 S. Western Ave., Chicago, IL 60612 | 2014-06-18 |
| 1013270982 | Sean David Pietrini | Radiology | 1500 W Monroe St, Apartment 118, Chicago, IL 60607 | 2012-06-16 |
| 1417240102 | Sameul Hanif | Radiology | 7808 W College Dr Ste 1se, Palos Heights, IL 60463-1095 | 2011-05-27 |
| 1649563842 | Alex Edward Heaton | Radiology | 911 N Elm St Ste 128, Hinsdale, IL 60521-3640 | 2011-05-20 |
| 1932426863 | Lifeline Vascular Access Network, LLC | Radiology | Three Hawthorn Parkway, Suite 410, Vernon Hills, IL 60061-1450 | 2010-05-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.