NPI 1063886760

Madhupa Sud MD Sc

Organisation Pediatrics Physician Chicago, IL

Practice location

Address: 45 W 111th St, Chicago, IL 60628
Phone: (773) 995-3460
Mailing address: 192 Ashton Dr, Burr Ridge, IL 60527

Authorised official

Name: Madhupa Sud
Title: President
Phone: (773) 995-3460

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036063319 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1063886760
Entity type: Organization
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.