Provider Demographics
NPI:1609035617
Name:KURUP, SUDHI P (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHI
Middle Name:P
Last Name:KURUP
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:225 E CHICAGO AVE # 70
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2991
Mailing Address - Country:US
Mailing Address - Phone:312-227-6180
Mailing Address - Fax:312-227-6717
Practice Address - Street 1:225 E CHICAGO AVE # 70
Practice Address - Street 2:ANN & ROBERT H. LURIES CHILDREN'S HOSPITAL OF CHICAGO
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2605
Practice Address - Country:US
Practice Address - Phone:312-227-6180
Practice Address - Fax:312-227-6717
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036129730207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist