| Pediatric General Care & Research | |
|
4527 N Pulaski Rd Chicago IL 60630-4415 | |
| (773) 267-7060 | |
| (773) 267-4752 |
| Full Name | Pediatric General Care & Research |
|---|---|
| Speciality | General Practice |
| Location | 4527 N Pulaski Rd, Chicago, Illinois |
| Authorized Official Name and Position | Chandra M Khurana (PRESIDENT) |
| Authorized Official Contact | 7732677060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric General Care & Research 4527 N Pulaski Rd Chicago IL 60630-4415 Ph: (773) 267-7060 | Pediatric General Care & Research 4527 N Pulaski Rd Chicago IL 60630-4415 Ph: (773) 267-7060 |
| NPI Number | 1003140500 |
|---|---|
| Provider Enumeration Date | 09/30/2009 |
| Last Update Date | 09/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003140500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036048394 (Illinois) | Primary |
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