Organization
ILLINOIS MEDICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUNDAR SIVAPRAKASAM (MEDICAL DIRECTOR)
(708) 906-0741
Entity
Organization
Contact information
Practice address
14489 JOHN HUMPHREY DR STE 100, ORLAND PARK, IL 60462-6209
(708) 906-0741
Mailing address
14489 JOHN HUMPHREY DR STE 100, ORLAND PARK, IL 60462-6209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
07/22/2025
Last updated
04/23/2026
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