Perfect Managed Care LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

PERFECT MANAGED CARE LLC

Practice address

4527 N Pulaski Rd
Chicago, IL 60630-4415

Phone

(773) 267-7060

Fax

(773) 267-4752

NPI assigned

Feb 28, 2008

Last updated

Feb 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chandra M Khurana, M.D.

Title

Medical Director

Phone

(773) 267-7060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1285803791",
    "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",
            "fax_number": "773-267-4752"
        },
        {
            "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": "PERFECT MANAGED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "773-267-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801505740000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Contractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.