# KTAG HEALTH PLLC

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

## Provider details

- **NPI number:** 1356286835
- **Authorized official:** DR. MANISH GORASIYA MD, MPH (PARTNER)
- **Authorized official phone:** (551) 208-6516

## Contact information

- **Practice address:** 29 E SAINT CHARLES RD, VILLA PARK, IL 60181-2411
- **Practice address phone:** (312) 898-2671
- **Mailing address:** 6549 GARFIELD AVE, BURR RIDGE, IL 60527-5238
- **Mailing address phone:** (312) 898-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2026
- **Last updated:** 04/28/2026