Active NPI
Maya Family Medical Center
- Pediatric Infectious Diseases Physician
- Chicago, IL
National Provider Identifier
1043424450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- Legal business name
- MAYA FAMILY MEDICAL CENTER
- Practice address
- 4527 N Pulaski Rd
Chicago, IL 60630 - Phone
- (773) 267-6617
- Fax
- (773) 267-0460
- NPI assigned
- May 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chandra Mohini Khurana, MD
- Title
- Medical Director
- Phone
- (773) 267-6617
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | IL | Primary | |
| General Practice Physician | 208D00000X | IL |
Addresses
Primary practice location
4527 N Pulaski Rd
Chicago, IL 60630
Mailing address
4527 N Pulaski Rd
Chicago, IL 60630
Phone (773) 267-6617
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BEHJCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1043424450",
"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": "60630",
"telephone_number": "773-267-6617",
"fax_number": "773-267-0460"
},
{
"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": "60630",
"telephone_number": "773-267-6617",
"fax_number": "773-267-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYA FAMILY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "KHURANA",
"authorized_official_first_name": "CHANDRA",
"authorized_official_middle_name": "MOHINI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "773-267-6617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.