DR. PRAKASH SELVARAJ (NPI# 1467454124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467454124 |
| Entity Type | Individual |
| Full Name | DR. PRAKASH SELVARAJ |
| Credential | M.D. |
| Practice Address |
396 Remington Blvd Suite 340 Bolingbrook IL 60440-1732 |
| Mailing Address |
3537 Paysphere Cir Chicago IL 60674-0035 |
| Practice Telephone | 6307599800 |
| Mailing Telephone | 7087862900 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 036-095872 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-095872-1 | 05 |
| Street Address |
396 REMINGTON BLVD SUITE 340 |
| City | BOLINGBROOK |
| State | IL |
| Zip Code | 60440-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255987707 | Aaron Kim Dpm S.c | Podiatrist | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2019-08-12 |
| 1578092227 | Tiffany Applewhite | Registered Nurse | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2017-06-07 |
| 1053772178 | Katrina Cudal | Nurse Practitioner | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2016-03-17 |
| 1023416625 | Amanda Hunter | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2014-12-12 |
| 1780014647 | Kelsey Casali | Physician Assistant | 396 Remington Blvd, 240, Bolingbrook, IL 60440-4302 | 2013-11-13 |
| 1811325160 | Adventist Health Partners, Inc | Neurological Surgery | 396 Remington Blvd, Suite 140, Bolingbrook, IL 60440-4302 | 2013-10-24 |
| 1982942306 | Illinois Cancer Specialists | Internal Medicine | 396 Remington Blvd, Ste 141, Bolingbrook, IL 60440-4302 | 2013-01-18 |
| 1811249972 | Vna Health Care | Clinic/Center | 396 Remington Blvd, Bolingbrook, IL 60440-4302 | 2012-10-12 |
| 1497015390 | Usrc Bolingbrook LLC | Clinic/Center | 396 Remington Blvd, Ste 110, Bolingbrook, IL 60440-4302 | 2012-05-24 |
| 1033496344 | Amber Lawrence | Physician Assistant | 396 Remington Blvd, Suite 130, Bolingbrook, IL 60440-4302 | 2011-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141251 | Derick Dermatology, LLC | Dermatology | 239 Remington Boulevard, Suite 225, Bolingbrook, IL 60440 | 2020-07-16 |
| 1851949150 | Rachel Nicole Weis | Student in an Organized Health Care Education/Training Program | 777 Falconridge Way, Bolingbrook, IL 60440 | 2019-08-29 |
| 1578072815 | Onna Ford-kendrick | Nurse Practitioner | 151 E. Briarcliff Rd, -, Bolingbrook, IL 60440 | 2017-09-28 |
| 1891245213 | Megan Lotarski | Specialist/Technologist | 6 Copper Ct, Bolingbrook, IL 60440 | 2016-10-10 |
| 1144775800 | Mitchell Quill | Chiropractor | 550 E Boughton Rd Ste 150, Bolingbrook, IL 60440 | 2016-08-23 |
| 1477914125 | Alessia L. Elerby | Specialist | 128 S Cass Ave, Westmont, IL 60440 | 2016-03-09 |
| 1982073821 | Melissa Perkins | Counselor | 511 Preston Drive, Bolingbrook, IL 60440 | 2015-09-22 |
| 1821467754 | Advanced Patient Care, LLC. | Pharmacy | 335-337 Remington Blvd., Bolingbrook, IL 60440 | 2015-09-22 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| 1467864512 | Alice II Salons | Specialist | 311 Quadr,., Bolingbrook, IL 60440 | 2014-05-23 |
| Find all providers in zip 60440 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992764625 | Rajakumari Prakash Selvaraj | Ophthalmology | 393 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1619936358 | West Suburban Eye Center, S.c. | Ophthalmology | 396 Remington Blvd., Suite 340, Bolingbrook, IL 60440-3442 | 2006-03-21 |
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| 1104981455 | Bryan J. Phillips,m.d.,s.c. | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-27 |
| 1235293630 | Dawn Renee Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2006-12-20 |
| 1154372845 | Sujaya P Rupani | Ophthalmology | 396 Remington Blvd, Suite 340, Bolingbrook, IL 60440-3466 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433473 | Chicagoland Eye Consultants, Sc | Ophthalmology | 477 E Butterfield Rd Ste 101, Lombard, IL 60148-4880 | 2020-09-30 |
| 1649894189 | Lakeshore Ophthalmology, LLC | Ophthalmology | 2525 S Michigan Ave Fl 8, Chicago, IL 60616-2315 | 2020-06-01 |
| 1053940460 | Neil L Ross | Ophthalmology | 950 N Michigan Ave Apt 5403, Chicago, IL 60611-7535 | 2020-04-07 |
| 1932730256 | Cereesa E. Longest Md Sc | Ophthalmology | 225 Oak Knoll Rd, Barrington, IL 60010-2615 | 2020-01-27 |
| 1497314181 | Ophthalmology Surgery Center of Illinois, LLC | Ophthalmology | 1300 N Arlington Heights Rd Ste 150, Itasca, IL 60143-3128 | 2019-06-06 |
| 1770149049 | Rop Consultants LLC | Ophthalmology | 5228 N Virginia Ave, Chicago, IL 60625-4015 | 2019-05-13 |
| 1962969881 | Monique Munro | Ophthalmology | 1855 W Taylor Street. Suite 3138 Illinois Eye and Infir, Chicago, IL 60612 | 2019-02-27 |
| 1679039457 | Laser and Cataract Institute, LLC | Ophthalmology | 22200 Wolf Rd, Frankfort, IL 60423-7721 | 2019-02-15 |
| 1063987345 | Chataam Optical LLC | Ophthalmology | 8741 S Greenwood Ave Ste 108, Chicago, IL 60619-7058 | 2018-10-12 |
| 1922507474 | Dekalb Eye Consultants, LLC | Ophthalmology | 1075 Featherstone Rd Ste 10, Rockford, IL 61107-5906 | 2018-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BOLINGBROOK |
| Zip Code | 60440 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.