Individual
DR. PRAKASH SIDHA JAYABALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Mailing address
355 E ERIE ST, CHICAGO, IL 60611-3167
(312) 238-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036140895
IL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
036-140895
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036140895-1
—
IL
Enumeration date
07/03/2011
Last updated
04/26/2022
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