Sudip Dilip Thakar, MD | |
251 E Huron St, Chicago, IL 60611-2908 | |
(312) 926-2000 | |
Not Available |
Full Name | Sudip Dilip Thakar |
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Gender | Male |
Speciality | Ophthalmology |
Location | 251 E Huron St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811492432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | V1285 (Texas) | Primary |
207W00000X | Ophthalmology | 125.072705 (Illinois) | Secondary |
207W00000X | Ophthalmology | 2022-00965 (North Carolina) | Secondary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1477609535 PECOS PAC ID: 1355254368 Enrollment ID: O20080418000444 |
Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
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Sudip Dilip Thakar, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Sudip Dilip Thakar, MD 251 E Huron St, Chicago, IL 60611-2908 Ph: (312) 926-2000 |
Paul Owen Phelps, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2001 N Halsted St Ste 200, Chicago, IL 60614 Phone: 312-888-5754 Fax: 833-989-2458 | |
Dr. David Alan Ramirez Jr., MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 225 E Chicago Ave # 70, Chicago, IL 60611 Phone: 312-227-6180 Fax: 312-227-9411 | |
Curtis James Heisel, Ophthalmology Medicare: Medicare Enrolled Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-227-4000 | |
Dr. John B Bello, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 7447 W Talcott Ave, Suite 406, Chicago, IL 60631 Phone: 773-775-9755 Fax: 773-775-4306 | |
Adrienne Berman, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 | |
Jhansi Raju, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3700 W 26th St, Chicago, IL 60623 Phone: 773-542-5203 Fax: 773-542-5841 | |
Catherine Jane Thomas, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 1520, Chicago, IL 60611 Phone: 312-695-8150 Fax: 312-503-8152 |