KTAG HEALTH PLLC – NPI #1356286835
Clinic/Center

KTAG HEALTH PLLC is an AHC clinic located in VILLA PARK, IL. NPPES recently assigned the NPI number 1356286835 to KTAG HEALTH PLLC on April 21, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on Apr 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KTAG HEALTH PLLC below.

NPI Profile for
KTAG HEALTH PLLC

NPI Number
1356286835
Enumeration Date

(about 7 weeks ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KTAG HEALTH PLLC
Primary location
29 E SAINT CHARLES RD
VILLA PARK, IL 60181-2411
Phone: (312) 898-2671 Fax:
Mailing address
6549 GARFIELD AVE
BURR RIDGE, IL 60527-5238
Phone: (312) 898-2671 Fax:
Organization Subpart
No
Authorized Official
MANISH GORASIYA
PARTNER
Phone: (551) 208-6516
Updated
Certification Date
Apr 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.