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NICOLE PRABHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 834-5418
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-149014
IL
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0071093
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
DR.0071093
CO
208M00000X
Hospitalist Physician
036-149014
IL

Other

Enumeration date
07/20/2016
Last updated
08/08/2023
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