Healthcare Provider Details

I. General information

NPI: 1447593223
Provider Name (Legal Business Name): PINKY KURANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2013
Last Update Date: 12/20/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E 93RD ST STE 440
CHICAGO IL
60617
US

IV. Provider business mailing address

2315 E 93RD ST STE 440
CHICAGO IL
60617-3951
US

V. Phone/Fax

Practice location:
  • Phone: 773-768-6400
  • Fax:
Mailing address:
  • Phone: 773-768-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number036-147009
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: