Nandra Family Practice, Ltd.

LBN: Nandra Family Practice, Ltd.
Nandra Family Practice, Ltd. is an health care organization with primary practice located at 115 E South St Unit F, Plano IL 60545-1417. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Nandra Family Practice, Ltd. can be contacted via phone (630) 552-7166, or through Nandra, Mukhtar S via phone (630) 552-7166.

Contact Information

Primary practice address
115 E South St Unit F Plano IL 60545-1417
Fax: (630) 552-7168
Website:
Authorized official contact:
Name: Nandra, Mukhtar S Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-083629 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-119568 Illinois

Profile Details

NPI number 1629203534
LBN Legal business name Nandra Family Practice, Ltd.
DBA Doing business as
Authorized official Nandra, Mukhtar S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2009
Last updated May 20th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629203534 NPPES
Illinois Other 1639358427 NPI
Illinois MEDICAID 036-083629 NPI
Illinois Other 1942373931 NPI

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