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Organization
LM PRASAD M.D S.C
Active
Organization
LM PRASAD M.D S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEELA M PRASAD M.D. (CHIEF EXECUTIVE OFFICER)
(847) 759-1110
Entity
Organization
Contact information
Practice address
1550 N NORTHWEST HWY, 107, PARK RIDGE, IL 60068-1411
(847) 759-1110
(847) 759-8273
Mailing address
1550 N NORTHWEST HWY, 107, PARK RIDGE, IL 60068-1411
(847) 759-1110
(847) 759-8273
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
NULL
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
10/09/2007
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