Individual
ANUPAMA THAKRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 W. HARRISON, SUITE LL-500, CHICAGO, IL 60612
(312) 864-3838
(312) 864-9295
Mailing address
161 E. CHICAGO AVE., UNIT 52B, CHICAGO, IL 60611
(312) 864-3838
(312) 864-9295
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01058915A
IN
2085R0001X
Radiation Oncology Physician
Primary
036.116244
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036116244
—
IL
01
—
1616101
BCBS
IL
05
—
200288710
—
IN
01
—
218860
MEDICARE GROUP
IL
01
—
218890
MEDICARE GROUP
IL
Enumeration date
11/14/2005
Last updated
04/30/2021
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