Healthcare Provider Details

I. General information

NPI: 1043831407
Provider Name (Legal Business Name): SONIKA BINDU PRASAD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 N BELL SCHOOL RD
ROCKFORD IL
61114-6624
US

IV. Provider business mailing address

4309 W SHAMROCK LN APT 2C
MCHENRY IL
60050-3111
US

V. Phone/Fax

Practice location:
  • Phone: 779-696-9400
  • Fax:
Mailing address:
  • Phone: 779-302-2263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.076798
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036-178530
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: