Active NPI
Dr. Guriqbal Nandra
- Multi-Specialty Clinic/Center
- Chicago, IL
National Provider Identifier
1508085762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- DR. GURIQBAL NANDRA
- Practice address
- 845 N Michigan Ave
Suite 930E
Chicago, IL 60611-2252 - Phone
- (312) 944-2929
- Fax
- (312) 867-7841
- NPI assigned
- Apr 25, 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. Paul C Madison, MD
- Title
- Owner
- Phone
- (312) 944-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | IL | Primary |
Addresses
Primary practice location
845 N Michigan Ave
Suite 930E
Chicago, IL 60611-2252
Mailing address
845 N Michigan Ave
Suite 930E
Chicago, IL 60611-2252
Phone (312) 944-2929
National Provider Directory
National Provider Directory- Tax ID family
- Dr Guriqbal Nandra
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1306067442
-
- Clinic/Center
- Chicago, IL
- NPI 1003978446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508085762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 N MICHIGAN AVE",
"address_2": "SUITE 930E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112252",
"telephone_number": "312-944-2929",
"fax_number": "312-867-7841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 N MICHIGAN AVE",
"address_2": "SUITE 930E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112252",
"telephone_number": "312-944-2929",
"fax_number": "312-867-7841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. GURIQBAL NANDRA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MADISON",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-944-2929",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.