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General NPI Number Information
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NPI Number | 1457516395
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Entity Type | Individual
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Provider Name | VINAI GONDI MD
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Gender | Male
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 4405 WEAVER PKWY
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City | WARRENVILLE
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State | IL
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Zip | 60555-3269
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Country | US
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Telephone | 630-352-5350
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Fax | 630-933-4357
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Provider Business Mailing Address
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Address Line | 700 COMMERCE DR SUITE 500
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City | OAK BROOK
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State | IL
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Zip | 60523-1546
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Country | US
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Telephone | 847-698-0600
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Fax | 847-698-0601
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 036.130360
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License Number State | IL
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