Individual
NEAL K THAKRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4777 E STATE ST, ROCKFORD, IL 61108-2273
(815) 227-0077
Mailing address
4777 E STATE ST, ROCKFORD, IL 61108-2273
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.010651
IL
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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