Provider Demographics
NPI:1184741951
Name:VASA, FALGUNI R (MD)
Entity type:Individual
Prefix:DR
First Name:FALGUNI
Middle Name:R
Last Name:VASA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1860 PAYSPHERE CIR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-0018
Mailing Address - Country:US
Mailing Address - Phone:630-942-7998
Mailing Address - Fax:630-545-7531
Practice Address - Street 1:1020 E OGDEN AVE STE 100
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8610
Practice Address - Country:US
Practice Address - Phone:630-789-4910
Practice Address - Fax:630-789-4911
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36098874207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH66006Medicare UPIN
K07850Medicare PIN
IL1861663692Medicare PIN