| Vibhaben A Thaker, MD | |
|
801 S. Washington St., Nicu, Naperville, IL 60540-7430 | |
| (630) 527-3234 | |
| (630) 527-3450 |
| Full Name | Vibhaben A Thaker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 801 S. Washington St., Naperville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073684775 | NPI | - | NPPES |
| 036077547 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 036077547 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Vibhaben A Thaker, MD Po Box 487, Hinsdale, IL 60522-0487 Ph: (847) 991-0440 | Vibhaben A Thaker, MD 801 S. Washington St., Nicu, Naperville, IL 60540-7430 Ph: (630) 527-3234 |
Rajeev S Dixit, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 801 S Washington, Naperville, IL 60566 Phone: 847-991-0440 Fax: 847-991-0441 | |
Lina Bourjas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 636 Raymond Dr Ste 205, Naperville, IL 60563 Phone: 630-717-2300 | |
Mark Joseph Brinkman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 Raymond Drive, Suite 205, Naperville, IL 60563 Phone: 630-717-2300 Fax: 630-717-9638 | |
Zankhana Master Desai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 801 S. Washington St., Nicu, Naperville, IL 60540 Phone: 630-527-3234 | |
Dr. Chad Christopher Olsen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2712 Forgue Dr Ste 100, Naperville, IL 60564 Phone: 630-548-1100 Fax: 630-428-4211 | |
Waddah J Hashem, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1315 Macom Dr, Ste 206, Naperville, IL 60564 Phone: 630-978-7015 Fax: 630-978-7043 |