Thaker, Poonam Pankaj

Thaker, Poonam Pankaj is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 182, Chicago IL 60631-3745. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Thaker, Poonam Pankaj can be contacted via phone (773) 792-5155.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 182 Chicago IL 60631-3745
Fax: (773) 594-7975
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-116808 Illinois
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 036-116808 Illinois

Profile Details

NPI number 1508030057
LBN Legal business name Thaker, Poonam Pankaj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Mar 24th, 2021 - about 4 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.

Request for update

Popular Providers