Nandra Family Practice, Ltd.

NPI #1629203534 in Plano, Illinois

Provider Information

NPI Number: 1629203534
Entity Type: Organization
Organization Name: Nandra Family Practice, Ltd.
Primary Specialty: Family Medicine
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 115 E SOUTH ST
Address 2: UNIT F
City: Plano
State: Illinois
ZIP Code: 60545-1417
Phone: (630) 552-7166

Authorized Official

Name: DR. MUKHTAR S NANDRA, MD
Title: PRESIDENT
Phone: (630) 552-7166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Family Medicine	207Q00000X	Primary

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