NPI 1003744111

Pradeep John Darsipudi

Practitioner Physician Assistant Evergreen Park, IL

Practice location

Address: 9760 S Kedzie Ave STE 3, Evergreen Park, IL 60805-3184
Phone: (708) 423-6209
Mailing address: 744 N Irving Ave, Hillside, IL 60162-1017

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1003744111
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2026
Record last updated: 11 May 2026

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.