=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821594607
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOPE & HEALING CANCER SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2018
-----------------------------------------------------
Last Update Date | 11/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 950 N YORK RD STE 201A
-----------------------------------------------------
City | HINSDALE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60521-8609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-560-0121
-----------------------------------------------------
Fax | 630-214-0110
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4535
-----------------------------------------------------
City | OAK BROOK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60522-4535
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-545-4901
-----------------------------------------------------
Fax | 630-545-4953
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. SRILATA GUNDALA
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 219-682-7727
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RH0003X
-----------------------------------------------------
Taxonomy Name | Hematology & Oncology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------