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Organization
MAYA FAMILY MEDICAL CENTRE INC
Active
Organization
MAYA FAMILY MEDICAL CENTRE INC
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA MOHINI KHURANA M.D. (MEDICAL DIRECTOR)
(773) 837-1550
Entity
Organization
Contact information
Practice address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(773) 267-6617
(773) 267-0460
Mailing address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(773) 267-6617
(773) 267-0460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2008
Last updated
03/04/2015
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