Organization
JIGAR THAKKAR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIGARKUMAR THAKKAR M. D. (OWNER)
(630) 236-8018
Entity
Organization
Contact information
Practice address
1309 MACOM DR STE 101, NAPERVILLE, IL 60564
(630) 236-8018
(630) 236-8949
Mailing address
1309 MACOM DR STE 101, NAPERVILLE, IL 60564-3202
(630) 236-8018
(630) 236-8949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036116848
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS0568
RR MEDICARE PTAN
IL
Enumeration date
09/27/2011
Last updated
12/17/2021
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