Andy W Su (NPI# 1699897306, PAC ID# 6608977038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1699897306 |
| PAC ID by PECOS | 6608977038 |
| Professional Enrollment ID | I20070728000230 |
| Full Name | Andy W Su |
| Organization Legal Name | FOX VALLEY RADIATION ONCOLOGY LLC |
| Address |
177 E Brush Hill Rd Elmhurst IL 60126-5658 |
| Phone Number | 6306466149 |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1456352301 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140200 | ELMHURST MEMORIAL HOSPITAL |
| 140231 | EDWARD HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 6306466149 | FOX VALLEY RADIATION ONCOLOGY LLC |
| 120 Spalding Dr, Suite 111, Naperville, IL 60540-6766 | 6306466149 | FOX VALLEY RADIATION ONCOLOGY LLC |
| 24600 W 127th St, Plainfield, IL 60585-9507 | 6306466149 | FOX VALLEY RADIATION ONCOLOGY LLC |
| Organization Legal Name | FOX VALLEY RADIATION ONCOLOGY LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katarina Georgia Petras | Radiation Oncology | Fox Valley Radiation Oncology LLC | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6766 |
| Oh-hoon Kwon | Radiation Oncology | Fox Valley Radiation Oncology LLC | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Neil A Dasgupta | Radiation Oncology | Fox Valley Radiation Oncology LLC | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Street Address |
177 E BRUSH HILL RD |
| City | ELMHURST |
| State | IL |
| Zip | 60126-5658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hollis W Walker | Hematology/oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Lisa Stucky - Marshall | Nurse Practitioner | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Brian C Myre | Hematology/oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Oh-hoon Kwon | Radiation Oncology | Fox Valley Radiation Oncology LLC | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Christine Gresik | Surgical Oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Amaryllis Gil | Hematology/oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Neil A Dasgupta | Radiation Oncology | Fox Valley Radiation Oncology LLC | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Sania S Raza | Hematology/oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Maribeth Maney | Nurse Practitioner | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Marilyn L Evrard | Hematology/oncology | Edward Health Ventures | 177 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Orourke | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Mike Zangan | Obstetrics/gynecology | 135 S Palmer Dr, Elmhurst, IL 60126 | |
| Barbara E Potaczek | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Lalitha Dileep-ansal | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Aysha Ahmed | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Asma M Ayub | Family Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Diane D Fabrizius | Internal Medicine | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Jeffrey J Kulik | Allergy/immunology | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Nabihah A Khan | Physician Assistant | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Wayne D Wong | Hospitalist | Elmhurst Memorial Healthcare | 755 N York Rd, Elmhurst, IL 60126 |
| Find all physicians in zip 60126 | |||
| City | ELMHURST |
| Zip Code | 60126 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | ELMHURST + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Andy W Su.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.