Whalio Doctors

NPI 1124005004

Vikram C Prabhu, MD

Practitioner Neurological Surgery Physician Maywood, IL

Practice location

Address
2160 S 1st Ave (maguire Center, Rm. 1900), Maywood, IL 60153
Phone
(708) 216-8563
Fax
(708) 216-4948

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 36111189 (IL)

Registry record

NPI
1124005004
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Dec 2005
Record last updated
4 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.