Individual
JIGARKUMAR THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1309 MACOM DR STE 101, NAPERVILLE, IL 60564-3202
(630) 236-8018
(630) 236-8949
Mailing address
1309 MACOM DR STE 101, NAPERVILLE, IL 60564-3202
(630) 236-8018
(630) 236-8949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036116848
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0533210001
DMERC
—
01
—
P00991675
RR MEDICARE PTAN
IL
Enumeration date
05/24/2007
Last updated
03/26/2019
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