Gourineni, Prasad
Gourineni, Prasad is an sole proprietor health care provider with primary practice located at 10330 S Roberts Rd , Palos Hills IL 60465-1971. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Gourineni, Prasad can be contacted via phone (708) 237-7200.Contact Information
Primary practice address
10330 S Roberts Rd
Palos Hills IL 60465-1971
Phone: (708) 237-7200
Fax: (708) 237-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-092558 | Illinois |
Profile Details
| NPI number | 1982697785 |
|---|---|
| LBN Legal business name | Gourineni, Prasad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Dec 21st, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982697785 | NPPES |
| Illinois | MEDICAID | 036-092558-5 |
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