Pediatric General Care & Research

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036048394 Issued in IL

Legal business name

PEDIATRIC GENERAL CARE & RESEARCH

Practice address

4527 N Pulaski Rd
Chicago, IL 60630-4415

Phone

(773) 267-7060

Fax

(773) 267-4752

NPI assigned

Sep 30, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chandra M Khurana, MD

Title

President

Phone

(773) 267-7060

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1003140500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4527 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304415",
            "telephone_number": "773-267-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4527 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304415",
            "telephone_number": "773-267-7060",
            "fax_number": "773-267-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GENERAL CARE & RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-267-7060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "IL",
            "license": "036048394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dental Health Associates, LTD.
• Pediatric Dental Surgical Associates PLLC
• Pediatric Developmental Center
• Pediatric Eye Consultants PC
• Pediatric Faculty Foundation, Inc
• Pediatric General Care & Research Fund
• Pediatric Orthotic and Prosthetic Services - Midwest, LLC
• Pediatric Therapy Connections, Inc
• Pediatric Therapy Group
• Pediatric Therapy Network

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.