Individual
MISS PRIYA SARASWATHI PRAKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC5033, CHICAGO, IL 60637-1443
(773) 834-2168
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
036143639
IL
2086S0102X
Surgical Critical Care Physician
MD455503
PA
2086S0127X
Trauma Surgery Physician
MD455503
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2008
Last updated
03/17/2018
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