# SPECIALISTS IN GASTROENTEROLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275075061
- **Authorized official:** DR. DEEPAK KHURANA M.D. (PRESIDENT)
- **Authorized official phone:** (847) 931-7550

## Contact information

- **Practice address:** 1710 N RANDALL RD, SUITE 280, ELGIN, IL 60123-9400
- **Practice address phone:** (847) 931-7550
- **Practice address fax:** (847) 931-0876
- **Mailing address:** 1710 N RANDALL RD, SUITE 280, ELGIN, IL 60123-9400
- **Mailing address phone:** (847) 931-7550
- **Mailing address fax:** (847) 931-0876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 209014800 | IL | Yes |

## Other

- **Enumeration date:** 11/09/2016
- **Last updated:** 01/02/2019
