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Organization

G S THAKKAR MDSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GITA G THAKKAR (OFFICE MANAGER)
(773) 989-3950
Entity
Organization

Contact information

Practice address
2740 W FOSTER AVE STE 203, CHICAGO, IL 60625-3525
(773) 989-3950
(773) 506-3884
Mailing address
2740 W FOSTER AVE STE 203, CHICAGO, IL 60625-3525
(773) 989-3950
(773) 506-3884

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-071876
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-071876
IL
Enumeration date
04/07/2008
Last updated
11/24/2008
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