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1174561500
JOHN M PRABHAKAR
JOLIET, IL
NPI
1174561500
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IL 036046283)
Enumeration Date
2006-06-04
Last Update Date
2007-07-08
Business Address
-- JOHN M PRABHAKAR M.D.
2121 ONEIDA ST
JOLIET, IL 60435-6544
Phone number: 815-741-4148
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Mailing Address
-- JOHN M PRABHAKAR M.D.
2121 ONEIDA ST
JOLIET, IL 60435-6544
Phone number: 815-741-4148
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