Individual provider · Type 1 NPI

Prabhavathi Mariyappa, MD

Pediatric Emergency Medicine (Pediatrics) Physician · Chicago, IL

NPI number 1336175207 Active

Practice location

1901 W Harrison St, John H. Stroger Jr. Hospital, Department Of Pediatrics
Chicago, IL 60612-3714

Call (312) 864-1523 Map

Mailing address

1535 S Monterey Ave
Villa Park, IL 60181-3434

Specialties and licenses

TaxonomyCodeLicense
Pediatric Emergency Medicine (Pediatrics) Physician Primary 2080P0204XNone listed

Pediatric Emergency Medicine (Pediatrics) Physician: A pediatrician who has special qualifications to manage emergencies in infants and children.

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About NPI 1336175207

Prabhavathi Mariyappa, MD's National Provider Identifier is 1336175207, issued on Jun 23, 2006. The primary taxonomy on file is Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.