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Prerana Rao

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1620 W Harrison St, Chicago, IL 60612-3801

PECOS Enrollment

Based on the most recent information from CMS, provider Prerana Rao is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1376493858
Provider Type
Individual
Full Name
Rao, Prerana
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/2/2026
Last Updated
2/18/2026

Contact Information

Practice Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-6631

Unlisted Fax

Mailing Location

1620 W Harrison St, Chicago, IL 60612-3801

(312) 942-6631

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.012099 Illinois
Code 363AM0700X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.012099 Illinois

Prerana Rao

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Martinez, Salvador

Martinez, Nancy

Payne, Arlett

Soriano, Alexandra

Frieh, Melanie

Davis, Barbara Ann

Azar, Zainah

Micci, Sandra Jean

Latif, Rohiya Hakimi

Reed, Kennedy Jean