Organization
ILLINOIS PHYSICIAN SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRAVEEN KHILNANI MD (PRESIDENT)
(312) 880-0085
Entity
Organization
Contact information
Practice address
534 CHESTNUT ST, SUITE 240, HINSDALE, IL 60521-3167
(312) 880-0085
Mailing address
1515 S PRAIRIE AVE, UNIT 1306, CHICAGO, IL 60605-3043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208D00000X
General Practice Physician
Primary
042619484
IL
Other
Enumeration date
05/14/2009
Last updated
12/21/2009
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