Individual
PRACHI JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-1046
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036162447
IL
2085R0001X
Radiation Oncology Physician
153621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270369
MEDICAL LICENSE
NY
Enumeration date
06/14/2011
Last updated
02/06/2023
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