Organization Active NPI

Rajat Prakash MD SC

  • Internal Medicine Physician
  • Clarendon Hills, IL
National Provider Identifier
1639395809
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAJAT PRAKASH MD SC
Practice address
217 West 55TH St
Clarendon Hills, IL 60514-1525
Phone
(630) 850-7522
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sadna Mohan
Title
President
Phone
(630) 375-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

217 West 55TH St
Clarendon Hills, IL 60514-1525

Mailing address

217 West 55TH St
Clarendon Hills, IL 60514-1525
Phone (630) 850-7522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1639395809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WEST 55TH ST",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141525",
            "telephone_number": "630-850-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WEST 55TH ST",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141525",
            "telephone_number": "630-850-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJAT PRAKASH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "SADNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-375-6500"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.