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Dr. Prakash Sidha Jayabalan

Physical Medicine & Rehabilitation Doctor Sports Medicine

355 E Erie St
Chicago , Illinois 60611-3167

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Dr. Prakash Sidha Jayabalan

Physical Medicine & Rehabilitation Doctor Sports Medicine

355 E Erie St
Chicago , Illinois 60611-3167

(312) 238-1000

Write a Review Save Call

Dr. Prakash Sidha Jayabalan

Physical Medicine & Rehabilitation Doctor Sports Medicine

355 E Erie St
Chicago , Illinois 60611-3167

(312) 238-1000 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Medicine & Rehabilitation Doctor
  • Sports Medicine

Languages spoken

  • English

Location

355 E Erie St Chicago , Illinois 60611-3167

First Address

  • Dr. Prakash Sidha Jayabalan
  • 355 E Erie St
  • Chicago, IL
  • Zip : 60611-3167
  • Phone : (312) 238-1000

Second Address

  • Dr. Prakash Sidha Jayabalan
  • 355 E Erie St
  • Chicago, IL
  • Zip : 60611-3167
  • Phone : (312) 238-1000

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FAQs


Where did Dr. Prakash Sidha Jayabalan attend graduate school?

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Where did Dr. Prakash Sidha Jayabalan do his residency?

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Where did Dr. Prakash Sidha Jayabalan do his fellowship?

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Is Dr. Prakash Sidha Jayabalan board certified?

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What type of doctor is Dr. Prakash Sidha Jayabalan

Sports Medicine

In what state does Dr. Prakash Sidha Jayabalan practice in?

Illinois

Where is Dr. Prakash Sidha Jayabalan ’s practice located?

355 E Erie St , Chicago, Illinois, 60611-3167

What is Dr. Prakash Sidha Jayabalan ’s gender?

Male

Is Dr. Prakash Sidha Jayabalan a sole practitioner?

No

Is Dr. Prakash Sidha Jayabalan accepting new patients?

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What languages does Dr. Prakash Sidha Jayabalan speak?

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Does Dr. Prakash Sidha Jayabalan accept insurance?

Yes, Dr. Prakash Sidha Jayabalan accepts insurance

Does Dr. Prakash Sidha Jayabalan offers telemedicine?

Dr. Prakash Sidha Jayabalan has not indicated if he offers telemedicine

What is Dr. Prakash Sidha Jayabalan ’s professional license number?

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What is Dr. Prakash Sidha Jayabalan ’s NPI number?

1457648073

Does Dr. Prakash Sidha Jayabalan have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208100000X Physical Medicine & Rehabilitation Doctor 036140895 IL
Y 2081S0010X Sports Medicine 036-140895 IL
Y 213ES0000X Sports Medicine 036-140895 IL

National Provider Identifier

NPI 1457648073
Provider Name Dr. Prakash Sidha Jayabalan
First Address Chicago, IL 60611-3167
Second Address Chicago, IL 60611-3167
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 03/07/2011
Last Update Date 04/12/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036140895-1 (05) IL

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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