Vaidya, Prabha
Vaidya, Prabha is an sole proprietor health care provider with primary practice located at 1545 Waukegan Rd , Glenview IL 60025-2166. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Vaidya, Prabha can be contacted via phone (847) 729-8986.Contact Information
Primary practice address
1545 Waukegan Rd
Glenview IL 60025-2166
Phone: (847) 729-8986
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | Illinois |
Profile Details
| NPI number | 1508956145 |
|---|---|
| LBN Legal business name | Vaidya, Prabha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508956145 | NPPES |
| Illinois | Other | 01636495 | BC/BS |
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