Infant Jesus LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

INFANT JESUS LLC

Practice address

5137 W Chicago Ave
Chicago, IL 60651-2904

Phone

(773) 378-4664

Fax

(773) 378-5739

NPI assigned

Oct 10, 2014

Last updated

Oct 10, 2014By 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 Mohini Khurana, M.D.

Title

Ceo

Phone

(773) 837-1550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1649674235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5137 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512904",
            "telephone_number": "773-378-4664",
            "fax_number": "773-378-5739"
        },
        {
            "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": "773-378-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFANT JESUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "MOHINI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-837-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.