Provider Demographics
NPI:1821594607
Name:HOPE & HEALING CANCER SERVICES LLC
Entity Type:Organization
Organization Name:HOPE & HEALING CANCER SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SRILATA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNDALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-682-7727
Mailing Address - Street 1:PO BOX 4535
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-4535
Mailing Address - Country:US
Mailing Address - Phone:630-545-4901
Mailing Address - Fax:630-545-4953
Practice Address - Street 1:950 N YORK RD STE 201A
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8609
Practice Address - Country:US
Practice Address - Phone:630-560-0121
Practice Address - Fax:630-214-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty