Individual
DR. HEMALINI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 DEAN ST, #2, SAINT CHARLES, IL 60174-1577
(630) 584-2400
(630) 584-2404
Mailing address
2015 DEAN ST, #2, SAINT CHARLES, IL 60174-1577
(630) 584-2400
(630) 584-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036101070
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036100883
—
IL
01
—
04532098
BC/BS
IL
Enumeration date
10/03/2006
Last updated
03/05/2014
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