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General NPI Number Information
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NPI Number | 1912467879
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Entity Type | Individual
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Provider Name | SAI PRASHANTH KUMAR BEERAKA MD
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Gender | Male
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Dates
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Enumeration Date | 03/25/2019
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2900 N LAKE SHORE DR
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City | CHICAGO
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State | IL
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Zip | 60657-5640
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Country | US
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Telephone | 972-214-8356
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Fax |
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Provider Business Mailing Address
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Address Line | 311 S OAK PARK AVE APT 1E
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City | OAK PARK
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State | IL
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Zip | 60302-3557
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Country | US
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Telephone | 972-214-8356
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036171666
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036171666
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036.171666
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License Number State | IL
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