Organization
PEDIATRIC GENERAL CARE & RESEARCH FUND
Active
Parent organization
PEDIATRIC GENERAL CARE & RESEARCH FUND
Other names
Pediatric General Care & Research Fund, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC GENERAL CARE & RESEARCH FUND
Authorized official
DR. CHANDRA MOHINI KHURANA M.D. (PRESIDENT)
(773) 378-4664
Entity
Organization
Contact information
Practice address
5137 W CHICAGO AVE., CHICAGO, IL 60651-2904
(773) 378-4664
(888) 726-8579
Mailing address
2390 DORINA DR, NORTHFIELD, IL 60093-2706
(773) 278-4664
(888) 726-8579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
036048694
IL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/27/2007
Last updated
08/25/2011
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