# MAYA FAMILY MEDICAL CENTRE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NONE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851566251
- **Authorized official:** DR. CHANDRA MOHINI KHURANA M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (773) 837-1550

## Contact information

- **Practice address:** 4527 N PULASKI RD, CHICAGO, IL 60630-4415
- **Practice address phone:** (773) 267-6617
- **Practice address fax:** (773) 267-0460
- **Mailing address:** 4527 N PULASKI RD, CHICAGO, IL 60630-4415
- **Mailing address phone:** (773) 267-6617
- **Mailing address fax:** (773) 267-0460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 03/04/2015