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1497914949
SOUMIYA PRAKASAM
CHICAGO, IL
NPI
1497914949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125 050901)
Enumeration Date
2008-06-09
Last Update Date
2008-06-09
Business Address
Dr. SOUMIYA PRAKASAM MD
111 S MORGAN ST UNIT 401
CHICAGO, IL 60607-2724
Phone number: 312-371-9381
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Mailing Address
Dr. SOUMIYA PRAKASAM MD
111 S MORGAN STREET UNIT 401
CHICAGO, IL 60607-2726
Phone number: 312-371-9381
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