Thakadiyil, Anita Vacha
Thakadiyil, Anita Vacha is an sole proprietor health care provider with primary practice located at 9760 S Kedzie Ave , Evergreen Park IL 60805-3109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thakadiyil, Anita Vacha can be contacted via phone (708) 423-6209.Contact Information
Primary practice address
9760 S Kedzie Ave
Evergreen Park IL 60805-3109
Phone: (708) 423-6209
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Illinois |
Profile Details
| NPI number | 1427271022 |
|---|---|
| LBN Legal business name | Thakadiyil, Anita Vacha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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