| NPI | 1275075061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK KHURANA President 847-931-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209014800) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2019-01-02 |