1. Home
  2. Directory
  3. Illinois
  4. Jacksonville
  5. Internal Medicine
  6. NPI Profile

CHANDUPATLA PRABHAKAR MD
NPI 1720197346
Internal Medicine in Jacksonville, IL

Active since August 29, 2006
559 N WESTGATE, JACKSONVILLE, IL 62650(217) 243-5474(217) 245-2322 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chandupatla Prabhakar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANDUPATLA PRABHAKAR MD (NPI 1720197346) is an individual internal medicine provider in Jacksonville, Illinois, licensed in Illinois (036056832) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720197346
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHANDUPATLA PRABHAKARCredential: MD
Location Address559 N WESTGATEJacksonville, IL 62650
Mailing Address559 N WestgateJacksonville, IL 62650 · (217) 243-5474 · Fax (217) 245-2322
Phone(217) 243-5474
Fax(217) 245-2322
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateMay 3, 2012
✔ NPI 1720197346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036056832
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
559 N WESTGATE, Jacksonville, IL 62650
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINCA8883
Medicare ID-Type Unspecified219970IL
Medicaid036056832IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDUPATLA PROBHAKAR MD
Internal Medicine
559 N WESTGATE
JACKSONVILLE, IL 62650
Morgan County (217) 243-5474

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chandupatla Prabhakar's NPI number?

The NPI number for Chandupatla Prabhakar is 1720197346. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Chandupatla Prabhakar located?

Chandupatla Prabhakar practices at 559 N Westgate, Jacksonville, IL 62650. The listed phone number is (217) 243-5474.

What is Chandupatla Prabhakar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Chandupatla Prabhakar was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.