Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Prakash Sidha Jayabalan, MD, PHD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1457648073

Dr. Prakash Sidha Jayabalan, MD, PHD is a Physical Medicine and Rehabilitation in Chicago, Illinois. Qualified in 2004, 22 years ago. Practices with Medical Services Ric, a 94-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

355 E Erie St
Chicago, IL 60611-3167
Phone: (312) 238-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 036-140895 (IL)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 036140895 (IL)

Record details

NPI number1457648073
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorYes
NPI enumeratedJuly 3, 2011
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Medical Services Ric — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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