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SARIYA PRACHUKTHUM M.D.
NPI 1750693412
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since July 11, 2010
1450 E 55TH PL # 421, CHICAGO, IL 60637(312) 810-8922 Get Directions Write a Review

NPPES record last updated: July 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sariya Prachukthum M.d. NPPES

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

SARIYA PRACHUKTHUM M.D. (NPI 1750693412) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (125058319) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1750693412
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSARIYA PRACHUKTHUMCredential: M.D.
Location Address1450 E 55TH PL # 421Chicago, IL 60637-1877
Mailing Address1450 E 55th Pl # 421Chicago, IL 60637-1877 · (312) 810-8922
Phone(312) 810-8922
Sole ProprietorNo
Enumeration DateJuly 11, 2010
✔ NPI 1750693412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125058319
Definition
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.
1450 E 55TH PL # 421, Chicago, IL 60637
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Other Identifiers 1

Medicaid125058319IL

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 Sariya Prachukthum's NPI number?

The NPI number for Sariya Prachukthum is 1750693412. It was assigned to this individual provider in the NPPES registry on July 11, 2010.

Where is Sariya Prachukthum located?

Sariya Prachukthum practices at 1450 E 55th Pl # 421, Chicago, IL 60637. The listed phone number is (312) 810-8922.

What is Sariya Prachukthum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Sariya Prachukthum was last updated on July 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.