| Brook Park Medical Associates S C | |
|
3101 Maple Ave Brookfield IL 60513 | |
| (708) 387-0121 | |
| (708) 387-0129 |
| Full Name | Brook Park Medical Associates S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 3101 Maple Ave, Brookfield, Illinois |
| Authorized Official Name and Position | Sandesh Kuchipudi (PHYSICIAN OWNER) |
| Authorized Official Contact | 7083870121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Park Medical Associates S C 3101 Maple Ave Brookfield IL 60513-1236 Ph: (708) 387-0121 | Brook Park Medical Associates S C 3101 Maple Ave Brookfield IL 60513 Ph: (708) 387-0121 |
| NPI Number | 1518302595 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 06/01/2018 |
| Medicare PECOS PAC ID | 3577704246 |
|---|---|
| Medicare Enrollment ID | O20130723000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518302595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Sandesh Kuchipudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821057324 PECOS PAC ID: 0749243566 Enrollment ID: I20041111000592 |
V.r. Kuchipudi, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Maple Ave, Brookfield, IL 60513 Phone: 708-387-0121 Fax: 708-387-0129 | |
The Family Doctors Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8905 Burlington Ave, Brookfield, IL 60513 Phone: 708-387-7000 Fax: 708-387-7001 | |
Ehtesham J Ghani Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9223 Ogden Avenue, Brookfield, IL 60513 Phone: 708-485-4050 Fax: 708-485-9216 |