Organization
PARAG B. THAKKAR MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG THAKKAR MD (PRESIDENT)
(847) 548-9186
Entity
Organization
Contact information
Practice address
1170 E BELIVERE RD, SUITE 210, GRAYSLAKE, IL 60030
(847) 548-9186
Mailing address
PO BOX 7035, LIBERTYVILLE, IL 60048-7035
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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