Organization
PEDIATRIC GENERAL CARE & RESEARCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA M KHURANA MD (PRESIDENT)
(773) 267-7060
Entity
Organization
Contact information
Practice address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(773) 267-7060
(773) 267-4752
Mailing address
4527 N PULASKI RD, CHICAGO, IL 60630-4415
(773) 267-7060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036048394
IL
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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