Individual
MAYUR THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 MCCONNOR PKWY, SCHAUMBURG, IL 60173-6801
(630) 780-0279
Mailing address
1600 MCCONNOR PKWY, SCHAUMBURG, IL 60173-6801
(630) 780-0279
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049157377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049157377
STATE LICENSE
IL
Enumeration date
04/13/2016
Last updated
04/13/2016
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