Provider Demographics
NPI:1841453552
Name:DR J G RANA PC
Entity type:Organization
Organization Name:DR J G RANA PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-398-2990
Mailing Address - Street 1:4 N ELMHURST RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1570
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4 N ELMHURST RD
Practice Address - Street 2:
Practice Address - City:PROSPECT HTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1570
Practice Address - Country:US
Practice Address - Phone:847-398-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038003921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILT37523Medicare UPIN
IL656480Medicare PIN