Organization
INTEGRATED MEDICINE FOR MENS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJAT PRAKASH MD (PRESIDENT)
(219) 424-1488
Entity
Organization
Contact information
Practice address
2838 45TH ST STE A, HIGHLAND, IN 46322-2905
(219) 424-1488
(219) 267-1704
Mailing address
226 INDIAN TRAIL RD, OAK BROOK, IL 60523-2796
(219) 424-1488
(219) 267-1704
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
01/10/2025
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