Organization
SPECIALISTS IN GASTROENTEROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK KHURANA M.D. (PRESIDENT)
(847) 931-7550
Entity
Organization
Contact information
Practice address
1710 N RANDALL RD, SUITE 280, ELGIN, IL 60123-9400
(847) 931-7550
Mailing address
1710 N RANDALL RD, SUITE 280, ELGIN, IL 60123-9400
(847) 931-7550
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036057728
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8824
MEDICARE RAILROAD
IL
Enumeration date
08/01/2006
Last updated
01/02/2019
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