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Organization

EDITH KHURANA MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDITH B KHURANA MD (MEDICAL DIRECTOR)
(773) 583-6955
Entity
Organization

Contact information

Practice address
2510 W IRVING PARK RD, SUITE D, CHICAGO, IL 60618-3748
(773) 583-6955
(773) 604-2201
Mailing address
2510 W IRVING PARK RD, SUITE D, CHICAGO, IL 60618-3748
(773) 583-6955
(773) 604-2201

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-083589
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8R3174
BCBS
TX
Enumeration date
01/18/2011
Last updated
02/18/2011
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