| Jugal R Thaker, MD | |
|
1302 Franklin Ave Ste 3000, Normal, IL 61761-6522 | |
| (309) 676-8123 | |
| (309) 676-8455 |
| Full Name | Jugal R Thaker |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 7 Years |
| Location | 1302 Franklin Ave Ste 3000, Normal, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891291522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036164967 (Illinois) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 036164967 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc - Mclean County | Bloomington, IL | Dialysis facility |
| Fmc - Pontiac | Pontiac, IL | Dialysis facility |
| Fmc - Normal Dialysis | Normal, IL | Dialysis facility |
| Affiliated Dialysis Of Glen Ellyn | Glen ellyn, IL | Dialysis facility |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Advocate Bromenn Medical Center | Normal, IL | Hospital |
| Saint James Hospital | Pontiac, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Sarah Bush Lincoln Health Center | 5092614867 | 359 |
| Renalcare Associates, S.c. | 7012818347 | 45 |
| Entity Name | Sarah Bush Lincoln Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669564662 PECOS PAC ID: 5092614867 Enrollment ID: O20031231000478 |
| Entity Name | Renalcare Associates, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649300377 PECOS PAC ID: 7012818347 Enrollment ID: O20040119000524 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jugal R Thaker, MD 420 Ne Glen Oak Ave Ste 401, Peoria, IL 61603-3112 Ph: (309) 624-9259 | Jugal R Thaker, MD 1302 Franklin Ave Ste 3000, Normal, IL 61761-6522 Ph: (309) 676-8123 |
Dr. Ali Raza Ghani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 4500, Normal, IL 61761 Phone: 309-556-8300 | |
Dr. Thanom Temiyasathit, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1302 Franklin Ave, Suite 4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Beth L Tumilty, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4500, Normal, IL 61761 Phone: 309-828-1166 Fax: 309-862-0330 | |
Piotr Pawel Krolikowski, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 Franklin Ave Ste 380, Normal, IL 61761 Phone: 309-268-3598 Fax: 309-268-2536 | |
Dr. Chae Chu, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 1302 Franklin Ave, #2200, Normal, IL 61761 Phone: 309-662-9631 Fax: 309-662-4706 | |
Robert Bruha, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave Ste 3000, Normal, IL 61761 Phone: 309-676-8123 Fax: 309-676-8455 | |
Mr. Thomas Deweert, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1302 Franklin Ave, #4800, Normal, IL 61761 Phone: 309-454-5900 Fax: 309-454-2820 |