Organization
BROOK PARK MEDICAL ASSOCIATES S C
Active
Organization
BROOK PARK MEDICAL ASSOCIATES S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDESH KUCHIPUDI M.D. (PHYSICIAN OWNER)
(708) 387-0121
Entity
Organization
Contact information
Practice address
7411 LAKE ST STE 1120, RIVER FOREST, IL 60305-1882
(708) 387-0121
(773) 825-2466
Mailing address
PO BOX 27, BROOKFIELD, IL 60513-0027
(708) 387-0121
(708) 387-0129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
05/06/2013
Last updated
12/10/2025
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