Individual
DHAVAL B THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 265-3573
Mailing address
4501 S STATE ST, CHICAGO, IL 60609-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028005
IL
Other
Enumeration date
06/25/2009
Last updated
01/21/2025
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