Vaishnav, Prakash

Vaishnav, Prakash is an individual health care provider with primary practice located at 10604 Southwest Highway Suite 107, Chicago Ridge IL 60415-2717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Vaishnav, Prakash can be contacted via phone (708) 371-8006.

Contact Information

Primary practice address
10604 Southwest Highway Suite 107 Chicago Ridge IL 60415-2717
Phone: (708) 371-8006
Fax: (708) 389-6630
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036058269 Illinois

Profile Details

NPI number 1770547309
LBN Legal business name Vaishnav, Prakash
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jun 7th, 2018 - about 6 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 1770547309 NPPES
Illinois Other 01632457 BLUE CROSS BLUE SHIELD
Illinois Other P00134276 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036058269 BLUE CROSS BLUE SHIELD

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