Parag B. Thakkar Md Sc | |
1170 E Belivere Rd Suite 210 Grayslake IL 60030 | |
(847) 548-9186 | |
Not Available |
Full Name | Parag B. Thakkar Md Sc |
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Speciality | Clinic/Center |
Location | 1170 E Belivere Rd, Grayslake, Illinois |
Authorized Official Name and Position | Parag Thakkar (PRESIDENT) |
Authorized Official Contact | 8475489186 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Parag B. Thakkar Md Sc Po Box 7035 Libertyville IL 60048-7035 Ph: () - | Parag B. Thakkar Md Sc 1170 E Belivere Rd Suite 210 Grayslake IL 60030 Ph: (847) 548-9186 |
NPI Number | 1427375401 |
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Provider Enumeration Date | 04/29/2010 |
Last Update Date | 04/29/2010 |
Medicare PECOS PAC ID | 6002945029 |
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Medicare Enrollment ID | O20100528000529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427375401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Parag B Thakkar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245256965 PECOS PAC ID: 4183753106 Enrollment ID: I20100528000548 |
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