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PRADEEP JOHN DARSIPUDI
NPI 1003744111
Physician Assistant in Evergreen Park, IL

Active since May 11, 2026
9760 S KEDZIE AVE STE 3, EVERGREEN PARK, IL 60805(708) 423-6209 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pradeep John Darsipudi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRADEEP JOHN DARSIPUDI (NPI 1003744111) is an individual physician assistant in Evergreen Park, Illinois and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1003744111
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePRADEEP JOHN DARSIPUDI
Location Address9760 S KEDZIE AVE STE 3Evergreen Park, IL 60805-3184
Mailing Address744 N Irving AveHillside, IL 60162-1017 · (773) 704-1156
Phone(708) 423-6209
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1003744111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9760 S KEDZIE AVE STE 3, Evergreen Park, IL 60805
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA BERGER PA-C
Physician Assistant
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209
MS. KERI ANNE BRACH APRN
Nurse Practitioner (Family)
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209
GODA ORENTAITE PA-C
Physician Assistant
9760 S KEDZIE AVE STE 3
EVERGREEN PARK, IL 60805
Cook County (708) 423-6209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pradeep Darsipudi's NPI number?

The NPI number for Pradeep Darsipudi is 1003744111. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Pradeep Darsipudi located?

Pradeep Darsipudi practices at 9760 S Kedzie Ave Ste 3, Evergreen Park, IL 60805. The listed phone number is (708) 423-6209.

What is Pradeep Darsipudi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Pradeep Darsipudi was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.