Thakkar, Jayesh

Thakkar, Jayesh is an individual health care provider with primary practice located at 2015 Dean St #2, St Charles IL 60174-1577. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thakkar, Jayesh can be contacted via phone (630) 584-2400.

Contact Information

Primary practice address
2015 Dean St #2 St Charles IL 60174-1577
Phone: (630) 584-2400
Fax: (630) 584-2404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036100883 Illinois

Profile Details

NPI number 1780778977
LBN Legal business name Thakkar, Jayesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 5th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780778977 NPPES
Illinois Other 04532098 BCBS
Illinois MEDICAID 036100883 BCBS

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