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Organization

V.R. KUCHIPUDI, M.D., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. V.R. KUCHIPUDI M.D. (PHYSICIAN / OWNER)
(630) 718-0200
Entity
Organization

Contact information

Practice address
3101 MAPLE AVE, BROOKFIELD, IL 60513-1236
(708) 387-0121
(708) 387-0129
Mailing address
1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
(630) 718-0200
(630) 718-0900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RH0003X
Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02201193
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
03/22/2006
Last updated
09/11/2025
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