| Thakkar S.C. | |
|
2015 Dean St #2 St Charles IL 60174-1577 | |
| (630) 584-2400 | |
| (630) 584-2404 |
| Full Name | Thakkar S.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 2015 Dean St, St Charles, Illinois |
| Authorized Official Name and Position | Jay Thakkar (PRESIDENT) |
| Authorized Official Contact | 6305842400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thakkar S.C. 2015 Dean St #2 St Charles IL 60174-1577 Ph: (630) 584-2400 | Thakkar S.C. 2015 Dean St #2 St Charles IL 60174-1577 Ph: (630) 584-2400 |
| NPI Number | 1801915616 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 03/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801915616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036100883 (Illinois) | Primary |
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