Thakore, Poonam

Thakore, Poonam is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Thakore, Poonam can be contacted via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62497 Connecticut
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 036159517 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036159517 Illinois

Profile Details

NPI number 1447612148
LBN Legal business name Thakore, Poonam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Aug 11th, 2022 - about 3 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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