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1467454124
PRAKASH SELVARAJ
BOLINGBROOK, IL
NPI
1467454124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: IL 036-095872)
Enumeration Date
2005-08-12
Last Update Date
2011-10-04
Business Address
Dr. PRAKASH SELVARAJ M.D.
396 REMINGTON BLVD SUITE 340
BOLINGBROOK, IL 60440-1732
Phone number: 630-759-9800
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Mailing Address
Dr. PRAKASH SELVARAJ M.D.
3537 PAYSPHERE CIR
CHICAGO, IL 60674-0035
Phone number: 708-786-2900
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