MEDICARE: P. V. KURANI, MD, SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1205136421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P. V. KURANI, MD, SC

Provider Business Mailing Address
First Line	:	2740 W FOSTER AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3524
Country	:	US
Telephone Number	:	773-561-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2740 W FOSTER AVE STE 201
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3524
Country	:	US
Telephone Number	:	773-561-7700
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. PRAFUL KURANI
Credential	:
Telephone Number	:	773-213-2320

Provider Enumeration Date	:	10/22/2010
Last Update Date	:	10/22/2010

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