Individual
DR. PETER JOHN THADANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 FLORSHEIM DR, LIBERTYVILLE, IL 60048-3757
(847) 247-4000
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-119413
IL
Other
Enumeration date
03/07/2007
Last updated
08/28/2012
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