MADHUPA SUD MD SC
NPI 1063886760
Pediatrics in Chicago, IL

Active since November 18, 2015
45 W 111TH ST, CHICAGO, IL 60628(773) 995-3460 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madhupa Sud Md Sc NPPES

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

MADHUPA SUD MD SC (NPI 1063886760) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since November 2015. The organization lists Madhupa Sud, President, as its authorized official.

NPPES Registry Identity

NPI1063886760
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMADHUPA SUD MD SC
Location Address45 W 111TH STChicago, IL 60628
Mailing Address192 Ashton DrBurr Ridge, IL 60527
Organization SubpartNo
Authorized OfficialMadhupa SudPresident · (773) 995-3460
Enumeration DateNovember 18, 2015
NPI 1063886760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IL · 036063319
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
45 W 111TH ST, Chicago, IL 60628

Other Identifiers 1

Medicaid036063319IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Obstetrics & Gynecology
45 W 111TH ST
CHICAGO, IL 60628
Dietitian, Registered
45 W 111TH ST
CHICAGO, IL 60628
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Specialist
45 W 111TH ST, SUITE 203
CHICAGO, IL 60628

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 Madhupa Sud MD Sc's NPI number?

The NPI number for Madhupa Sud MD Sc is 1063886760. It was assigned to this organization in the NPPES registry on November 18, 2015.

Where is Madhupa Sud MD Sc located?

Madhupa Sud MD Sc is located at 45 W 111th St, Chicago, IL 60628. The listed phone number is (773) 995-3460.

What is Madhupa Sud MD Sc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Madhupa Sud MD Sc was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.