IndividualActive
Igor Prus, MD
NPI 1205199502 · Sports Medicine (Family Medicine) Physician · Chicago, IL
Provider details
- NPI number
- 1205199502
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036.136049 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5215 N California Ave Ste 804
Chicago, IL 60625-7014
Phone: (773) 907-7750
Fax: (773) 907-7760
Approximate (ZIP-level) locationGet directions
Mailing address
2740 W Foster Ave Ste 310
Chicago, IL 60625-3547
Registry dates
- Enumerated
- 2012-06-21
- Last updated
- 2021-04-07
- Certified
- 2021-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.