Organization
PERFECT MANAGED CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRA M KHURANA M.D. (MEDICAL DIRECTOR)
(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
(773) 267-4752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
801505740000
—
IL
Enumeration date
02/28/2008
Last updated
02/28/2008
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