Individual
DR. SOUMIYA PRAKASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S MORGAN ST, UNIT 401, CHICAGO, IL 60607-2724
(312) 371-9381
Mailing address
111 S MORGAN STREET, UNIT 401, CHICAGO, IL 60607-2726
(312) 371-9381
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036125115
IL
207P00000X
Emergency Medicine Physician
125 050901
IL
Other
Enumeration date
06/09/2008
Last updated
08/05/2025
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