Individual
DR. RACHEL VATSAL THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7123 W ARCHER AVE, CHICAGO, IL 60638-2203
(773) 586-4506
(630) 495-1770
Mailing address
2041 GEORGIA AVENUE TOWERS 4300, WASHINGTON, DC 20060-0001
(202) 865-1680
(931) 202-8862
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.159687
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114410982
—
IL
Enumeration date
06/07/2018
Last updated
06/15/2022
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