Individual
DR. FRANCIS M. PRENDERGAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611
(312) 227-4500
Mailing address
225 E CHICAGO AVE # 9, CHICAGO, IL 60611-2991
(312) 227-4500
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
036.102600
IL
2085R0202X
Diagnostic Radiology Physician
036.102600
IL
2085R0202X
Diagnostic Radiology Physician
036102600
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036102600
—
IL
Enumeration date
08/31/2005
Last updated
06/05/2020
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