<Unavail>

LBN: Prasad Gourineni M.D.S.C.
<Unavail> is an health care organization with primary practice located at 4440 W.95Th Street Pediatric Ambulatory Clinic, Oak Lawn IL 60453. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Prasad Gourineni M.D.S.C. can be contacted via phone (708) 684-4563, or through Gourineni, Prasad via phone (630) 789-9223.

Contact Information

Primary practice address
4440 W.95Th Street Pediatric Ambulatory Clinic Oak Lawn IL 60453
Phone: (708) 684-4563
Fax: (707) 684-4763
Website:
Map and Directions
Authorized official contact:
Name: Gourineni, Prasad Doctor of Medicine (MD)
Phone: (630) 789-9223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036-092558 Illinois

Profile Details

NPI number 1689734881
LBN Legal business name Prasad Gourineni M.D.S.C.
DBA Doing business as <Unavail>
Authorized official Gourineni, Prasad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 2nd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689734881 NPPES
Illinois MEDICAID 036-092558

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