Individual
DR. HARISH V THAKRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 E CHICAGO AVE, # 52 B, CHICAGO, IL 60611-2601
(312) 642-6006
(773) 250-0946
Mailing address
161 E CHICAGO AVE, # 52 B, CHICAGO, IL 60611-2601
(312) 642-6006
(773) 250-0946
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
036046368
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046368
—
IL
01
—
BCBS ILL
2160441535
IL
Enumeration date
08/09/2006
Last updated
04/30/2021
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