Provider Demographics
NPI:1508838848
Name:KURANI, ILESH AMRATLAL (MD)
Entity Type:Individual
Prefix:MR
First Name:ILESH
Middle Name:AMRATLAL
Last Name:KURANI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4350 7TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-6890
Mailing Address - Country:US
Mailing Address - Phone:309-517-1180
Mailing Address - Fax:309-571-1113
Practice Address - Street 1:4350 7TH ST
Practice Address - Street 2:STE B
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6890
Practice Address - Country:US
Practice Address - Phone:309-517-1180
Practice Address - Fax:309-517-1113
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2011-09-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036094638207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-094638Medicaid
G68670Medicare UPIN