| Brook Park Medical Associates S C | |
|
7411 Lake St Ste 1120 River Forest IL 60305-1882 | |
| (708) 387-0121 | |
| (773) 825-2466 |
| Full Name | Brook Park Medical Associates S C |
|---|---|
| Speciality | Internal Medicine |
| Location | 7411 Lake St Ste 1120, River Forest, Illinois |
| Authorized Official Name and Position | Sandesh Kuchipudi (PHYSICIAN OWNER) |
| Authorized Official Contact | 7083870121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brook Park Medical Associates S C Po Box 27 Brookfield IL 60513-0027 Ph: (708) 387-0121 | Brook Park Medical Associates S C 7411 Lake St Ste 1120 River Forest IL 60305-1882 Ph: (708) 387-0121 |
| NPI Number | 1518302595 |
|---|---|
| Provider Enumeration Date | 05/06/2013 |
| Last Update Date | 12/10/2025 |
| Medicare PECOS PAC ID | 3577704246 |
|---|---|
| Medicare Enrollment ID | O20130723000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518302595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Sandesh Kuchipudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821057324 PECOS PAC ID: 0749243566 Enrollment ID: I20041111000592 |
| Provider Name | Tawnie Cersie Caracci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093287187 PECOS PAC ID: 0547509556 Enrollment ID: I20190308000071 |
Dhanalakshmi P. Ganesan M.d.s.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7357 North Ave, River Forest, IL 60305 Phone: 708-405-6200 Fax: 708-405-6223 | |
Dr Mary Kelly Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7319 North Ave, River Forest, IL 60305 Phone: 708-848-0040 | |
S.s. Shroff, M.d.,s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7355 North Ave, River Forest, IL 60305 Phone: 708-484-1411 Fax: 708-484-1468 | |
River Grove Medical Partners, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7355 North Ave, River Forest, IL 60305 Phone: 708-771-0921 Fax: 708-771-0925 | |
River Forest Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7353 North Ave, River Forest, IL 60305 Phone: 708-771-6611 Fax: 708-771-6335 | |
Locke & Uchitelle Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7411 Lake St, Ste 2210, River Forest, IL 60305 Phone: 708-366-8200 Fax: 708-366-8938 | |
River Forest Medical Assoc Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7353 North Ave, River Forest, IL 60305 Phone: 708-867-6087 Fax: 708-867-6032 |