NPI 1003140500

Pediatric General Care & Research

Organisation General Practice Physician Chicago, IL

Practice location

Address: 4527 N Pulaski Rd, Chicago, IL 60630-4415
Phone: (773) 267-7060
Fax: (773) 267-4752

Authorised official

Name: Chandra M Khurana
Title: President
Phone: (773) 267-7060

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036048394 (IL)

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Registry record

NPI: 1003140500
Entity type: Organization
NPI issued: 30 Sep 2009
Record last updated: 30 Sep 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.