Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 036-096852 | IL |
N | 207RP1001X | Pulmonary Disease | 036-096852 | IL |
Y | 207RS0012X | Sleep Medicine | 036-096852 | IL |
NPI | 1033300090 |
---|---|
Provider Name | Bharati Prasad |
First Address | Chicago, IL 60612-3719 |
Second Address | Chicago, IL 60612-3719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2007 |
Last Update Date | 05/10/2018 |