Leela M Prasad M.D.

NPI 1053366005 - Colon & Rectal Surgery - 208C00000X

NPI Details
NPI 1053366005
Gender Male
Enumeration Date 05/24/2006
Last Updated 07/27/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1550 N NORTHWEST HWY
SUITE 107
PARK RIDGE IL, 60068-1411, US
Phone (847) 759-1110
Fax (847) 759-8273
Business Location
1550 N NORTHWEST HWY
SUITE 107
PARK RIDGE IL, 60068-1411, US
Phone (847) 759-1110
Fax (847) 759-8273
Toxanomy
Taxonomy Code 208C00000X
License State Illinois
License Number 036048046
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According to our database, Dr. Leela M Prasad M.D. NPI is 1053366005, taxonomy code is 208C00000X and license number is 036048046, license state is located at Illinois. Leela M Prasad M.D. physically located at 1550 N Northwest Hwy, Park Ridge IL, 60068-1411. NPI Number Leela M Prasad M.D. has the Individual type.

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1053366005 NPI number is provided on an as is basis without warranty of any kind. 1053366005 is maintained by the National Plan & Provider Enumeration System. The contents of Leela M Prasad M.D. are for informational purposes only.