Prakash, Rajat

Prakash, Rajat is an individual health care provider with primary practice located at 901 Mcclintock Drive Suite 202, Burr Ridge IL 60527-0844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Prakash, Rajat can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
901 Mcclintock Drive Suite 202 Burr Ridge IL 60527-0844
Fax: (633) 654-4253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-086830 Illinois

Profile Details

NPI number 1700872041
LBN Legal business name Prakash, Rajat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 6th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700872041 NPPES
Illinois MEDICAID 036-086-830

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