Carlos Enrique Prada
Clinical Genetics (M.D.)
225 E Chicago Ave # 59
Chicago
, Illinois 60611-2991
Carlos Enrique Prada
Clinical Genetics (M.D.)
225 E Chicago Ave # 59
Chicago
, Illinois 60611-2991
(312) 227-9413
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Carlos Enrique Prada
- 225 E Chicago Ave # 59
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 227-9413
- Phone : (312) 227-6120
Second Address
- Carlos Enrique Prada
- 225 E Chicago Ave # 59
- Chicago, IL
- Zip : 60611-2991
- Fax : (312) 227-9413
- Phone : (312) 227-6120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | 036.156969 | IL |
National Provider Identifier
| NPI | 1386851335 |
|---|---|
| Provider Name | Carlos Enrique Prada |
| First Address | Chicago, IL 60611-2991 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2007 |
| Last Update Date | 09/07/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.