Pediatric General Care & Research Fund

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036048694 Issued in IL

Legal business name

PEDIATRIC GENERAL CARE & RESEARCH FUND

Practice address

5137 W Chicago Ave.
Chicago, IL 60651-2904

Phone

(773) 378-4664

Fax

(888) 726-8579

NPI assigned

Mar 27, 2007

Last updated

Aug 25, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

PEDIATRIC GENERAL CARE & RESEARCH FUNDAs reported in NPPES

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

Authorized official

Name

Dr. Chandra Mohini Khurana, M.D.

Title

President

Phone

(773) 378-4664

Specialties & licenses 3

Addresses

Other names 1

• Pediatric General Care & Research Fund, Inc Other name

Part of

Pediatric General Care Research

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alfonso C. Bello, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538171574
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1568580371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 DORINA DR",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932706",
            "telephone_number": "773-278-4664",
            "fax_number": "888-726-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5137 W CHICAGO AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512904",
            "telephone_number": "773-378-4664",
            "fax_number": "888-726-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GENERAL CARE & RESEARCH FUND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC GENERAL CARE & RESEARCH FUND",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "MOHINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-378-4664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036048694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric General Care & Research Fund, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pediatric Dental Surgical Associates PLLC
• Pediatric Developmental Center
• Pediatric Eye Consultants PC
• Pediatric Faculty Foundation, Inc (PFF Emergency Services)
• Pediatric General Care & Research
• Pediatric Orthotic and Prosthetic Services - Midwest, LLC
• Pediatric Therapy Connections, Inc
• Pediatric Therapy Group
• Pediatric Therapy Network
• Pediatric Therapy Solutions, Inc.

• Pediatrics Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.