Provider Demographics
NPI:1942362835
Name:KURANI, PRAFULCHANDRA V (MD)
Entity Type:Individual
Prefix:
First Name:PRAFULCHANDRA
Middle Name:V
Last Name:KURANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2740 W FOSTER
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625
Mailing Address - Country:US
Mailing Address - Phone:773-561-7700
Mailing Address - Fax:773-561-5624
Practice Address - Street 1:2740 W FOSTER
Practice Address - Street 2:SUITE 201
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625
Practice Address - Country:US
Practice Address - Phone:773-561-7700
Practice Address - Fax:773-561-5624
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036049306207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D89370Medicare UPIN
482520Medicare ID - Type Unspecified