Individual provider · Type 1 NPI

Komal Prem, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1982946703 Active

Practice location

1740 W Taylor St
Chicago, IL 60612-7232

Call (866) 600-2273 Map

Mailing address

4803 W Pebble Beach Dr
Wadsworth, IL 60083-9277

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982946703

Komal Prem, MD's National Provider Identifier is 1982946703, issued on Mar 19, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Mar 19, 2013.