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Contact Information

SANJAY PRASAD, MD
1253 N ALPINE RD
ROCKFORD, IL61107-2201
 Phone: 779-696-9201
 Fax: 815-397-9667
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SANJAY PRASAD · (Male)

NPI # 1437232139
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 03/23/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036176815
  • MD License # D43688
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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