Individual
PRADEEP THAPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10745 165TH ST, ORLAND PARK, IL 60467-8713
(708) 799-8384
(708) 799-1305
Mailing address
10745 165TH ST, ORLAND PARK, IL 60467-8713
(708) 799-8384
(708) 799-1305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.084950
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036.084950
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084950
—
IL
Enumeration date
10/03/2006
Last updated
07/25/2017
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