Individual
CARLOS ENRIQUE PRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE # 59, CHICAGO, IL 60611-2991
(312) 227-6120
(312) 227-9413
Mailing address
225 E CHICAGO AVE # 59, CHICAGO, IL 60611-2991
(312) 227-6120
(312) 227-9413
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
036.156969
IL
207SG0202X
Clinical Biochemical Genetics Physician
036.156969
IL
Other
Enumeration date
05/17/2007
Last updated
07/09/2021
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