| NPI | 1043424450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDRA MOHINI KHURANA Medical Director 773-267-6617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: IL 036048394) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IL 036048394) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |