Mariyappa, Prabhavathi

Mariyappa, Prabhavathi is an individual health care provider with primary practice located at 1901 W Harrison St John H. Stroger Jr. Hospital, Department Of Pediatrics, Chicago IL 60612-3714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Mariyappa, Prabhavathi can be contacted via phone (312) 864-1523.

Contact Information

Primary practice address
1901 W Harrison St John H. Stroger Jr. Hospital, Department Of Pediatrics Chicago IL 60612-3714
Phone: (312) 864-1523
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X Illinois

Profile Details

NPI number 1336175207
LBN Legal business name Mariyappa, Prabhavathi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jul 8th, 2007 - about 17 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.

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