Most Relevant Information
Provider Data
| NPI Number: | 1003445248 |
| Provider Name: | TIMOTHY DAVID PRAJKA DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 036-167259 |
Most Important Dates
| Enumeration Date: | 04/08/2020 |
| Last Updated: | 11/29/2023 |
Provider Practice Location
1357 W 103RD ST
CHICAGO
IL
606432392
Practice Location Phone/Fax
| Phone: | 7732380800 |
| Fax: | 7732380428 |
Provider Mailing Location
29373 NETWORK PL
CHICAGO
IL
606731293
Provider Mailing Phone/Fax
| Phone: | 8473905900 |
| Fax: |
Suggested EMR
Family Practice EMR