Organization Active NPI

DRS Khanna & Khanna LTD

  • Urology Physician
  • Elgin, IL
National Provider Identifier
1831122514
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DRS KHANNA & KHANNA LTD
Practice address
1425 N McLean Blvd
Ste 900
Elgin, IL 60123-5724
Phone
(847) 888-3070
Fax
(847) 888-0513
NPI assigned
Jul 8, 2006
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Ms. Madeline J Beyer
Title
Practice Administrator
Phone
(847) 888-3070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1425 N McLean Blvd
Ste 900
Elgin, IL 60123-5724

Mailing address

1425 N McLean Blvd
Ste 900
Elgin, IL 60123-5724
Phone (847) 888-3070

Other identifiers 1

IdentifierTypeStateIssuer
036053069MedicaidIL

National Provider Directory

National Provider Directory

Locations

1425 N McLean Blvd
Ste 9
Elgin, IL 60123
Phone (847) 888-3070

1425 N McLean Blvd
Ste 900
Elgin, IL 60123
Phone (708) 888-3070

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1831122514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "STE 900",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235724",
            "telephone_number": "847-888-3070",
            "fax_number": "847-888-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "STE 900",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235724",
            "telephone_number": "847-888-3070",
            "fax_number": "847-888-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS KHANNA & KHANNA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-888-3070",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053069",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.