Timothy David Prajka
Family Doctor
9555 S 52nd Ave
Oak Lawn
, Illinois 60453-3054
Timothy David Prajka
Family Doctor
9555 S 52nd Ave
Oak Lawn
, Illinois 60453-3054
(708) 422-8225
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Timothy David Prajka
- 9555 S 52nd Ave Ste F
- Oak Lawn, IL
- Zip : 60453-3054
- Fax : (708) 422-8225
- Phone : (708) 422-5700
Second Address
- Timothy David Prajka
- 9555 S 52nd Ave
- Oak Lawn, IL
- Zip : 60453-3054
- Phone : (708) 422-5700
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 125076732 | IL |
National Provider Identifier
| NPI | 1003445248 |
|---|---|
| Provider Name | Timothy David Prajka |
| First Address | Oak Lawn, IL 60453-3054 |
| Second Address | Oak Lawn, IL 60453-3054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/04/2020 |
| Last Update Date | 27/05/2020 |
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.