Individual
SUNDAR SIVAPRAKASAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-7920
Mailing address
1296 WOBURN DR, LEMONT, IL 60439-8933
(773) 884-7920
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036052320
IL
Other
Enumeration date
12/14/2005
Last updated
04/21/2009
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