LM Prasad M.D S.C

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

LM PRASAD M.D S.C

Practice address

1550 N Northwest Hwy
107
Park Ridge, IL 60068-1411

Phone

(847) 759-1110

Fax

(847) 759-8273

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leela M Prasad, M.D.

Title

Chief Executive Officer

Phone

(847) 759-1110

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John J Park, M.D.

  • Colon & Rectal Surgery Physician
  • Park Ridge, IL
  • NPI 1992750020
  Medicare reassignment Care Compare group NPD
• Kunal Kochar, MD

  • Colon & Rectal Surgery Physician
  • Park Ridge, IL
  • NPI 1063724664
  Medicare reassignment Care Compare group
• Slawomir Marecik, MD

  • Specialist
  • Park Ridge, IL
  • NPI 1538245964
  Medicare reassignment Care Compare group
• Mohammad Taha Mustaf Taha Mustafa Sheikh, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Park Ridge, IL
  • NPI 1164818449
  NPD (past)
• Jean-Francois Tremblay, M.D.

  • Colon & Rectal Surgery Physician
  • Park Ridge, IL
  • NPI 1104379973
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1740360106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "107",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-759-1110",
            "fax_number": "847-759-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N NORTHWEST HWY",
            "address_2": "107",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681411",
            "telephone_number": "847-759-1110",
            "fax_number": "847-759-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LM PRASAD M.D S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "PRASAD",
        "authorized_official_first_name": "LEELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "847-759-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Wildflowers Therapies LLC
• Miranda Liu
• Siyuan Christopher Liu, MD/PHD
• Vivian K Liu, BSN, MSN, CPNP
• Chool Liyanapatabendi, MD
• Brooke R Lobianco, APN
• Alan F Lobo, MD
• Elisabeth Loe, DO
• Margaret Loftus
• Darius A Loghmanee, M.D.

• Colon & Rectal Surgery Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Colon & Rectal Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.