NANDRA FAMILY PRACTICE LTD. NPI 1629203534

NPI Information

  • NPI: 1629203534
  • Provider Name: NANDRA FAMILY PRACTICE, LTD.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D0983152
  • Address: 115 E SOUTH ST
    UNIT F
    PLANO, IL
    ZIP 60545
  • Phone: (630) 552-7166

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NPI Details

NANDRA FAMILY PRACTICE, LTD. is a family medicine in Plano, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NANDRA FAMILY PRACTICE, LTD. NPI is 1629203534. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

115 E SOUTH ST
UNIT F
PLANO, IL
ZIP 60545-417
Phone: (630) 552-7166
Fax: (630) 552-7168

The provider's authorized official is Mukhtar S Nandra .
The authorized official title is President and has the following contact phone number (630) 552-7166.

The CLIA number assigned to this NPI record is 14D0983152 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine036-119568ILLINOISNo
2207Q00000XFamily Medicine036-083629ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036-083629MEDICAIDILLINOIS
2618560MEDICARE PIN
31639358427OTHERILLINOISNPI
41942373931OTHERNPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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