| Pediatric General Care & Research Fund, Inc | |
|
5137 W Chicago Ave. Chicago IL 60651-2904 | |
| (773) 378-4664 | |
| (888) 726-8579 |
| Full Name | Pediatric General Care & Research Fund, Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 5137 W Chicago Ave., Chicago, Illinois |
| Authorized Official Name and Position | Chandra Mohini Khurana (PRESIDENT) |
| Authorized Official Contact | 7733784664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric General Care & Research Fund, Inc 2390 Dorina Dr Northfield IL 60093-2706 Ph: (773) 278-4664 | Pediatric General Care & Research Fund, Inc 5137 W Chicago Ave. Chicago IL 60651-2904 Ph: (773) 378-4664 |
| NPI Number | 1568580371 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568580371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 036048694 (Illinois) | Primary |
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