Individual
MR. DONALD PAUL PRENTISS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 N HIGHLAND AVE, AURORA, IL 60506-1404
(630) 859-8700
Mailing address
1870 W GALENA BLVD, AURORA, IL 60506-4356
(630) 859-6700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01074235A
IN
208600000X
Surgery Physician
Primary
036-096029
IL
208600000X
Surgery Physician
K8818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0072GK
BCBS PROVIDER NUMBER
TX
01
—
01074235A
LICENSE NUMBER
IN
05
—
036096029
—
IL
01
—
04515143
BCBS#
IL
01
—
7258113
AETNA PROVIDER NUMBER
TX
01
—
K8818
LICENSE NUMBER
TX
Enumeration date
10/24/2006
Last updated
11/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us