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1124005004
VIKRAM C PRABHU
MAYWOOD, IL
NPI
1124005004
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: IL 36111189)
Enumeration Date
2005-12-30
Last Update Date
2010-03-04
Business Address
-- VIKRAM C PRABHU MD
2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900)
MAYWOOD, IL 60153
Phone number: 708-216-8563
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Mailing Address
-- VIKRAM C PRABHU MD
2160 S 1ST AVE (MAGUIRE CENTER, RM. 1900)
MAYWOOD, IL 60153
Phone number: 708-216-8563
Copy
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