| Kasturi Medical Care, Ltd | |
|
15 Tower Ct Ste 240 Gurnee IL 60031-3336 | |
| (847) 249-1606 | |
| (847) 249-1609 |
| Full Name | Kasturi Medical Care, Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 15 Tower Ct Ste 240, Gurnee, Illinois |
| Authorized Official Name and Position | Pramila Kasturi (OWNER) |
| Authorized Official Contact | 2242100471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasturi Medical Care, Ltd Po Box 291 Wauconda IL 60084-0291 Ph: (847) 249-1606 | Kasturi Medical Care, Ltd 15 Tower Ct Ste 240 Gurnee IL 60031-3336 Ph: (847) 249-1606 |
| NPI Number | 1881604528 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 03/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881604528 | NPI | - | NPPES |
| 036105457 | Medicaid | IL | |
| DF7990 | Other | IL | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036105457 (Illinois) | Primary |
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