Parag Thakkar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-106242 Issued in IL

Practice address

1170 E Belvidere Rd
Suite 210
Grayslake, IL 60030-2061

Phone

(847) 548-9186

Fax

(847) 548-1356

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: pthakkar234692@direct.myadvocateaurora.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1245256965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7035",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600487035",
            "telephone_number": "847-548-9186",
            "fax_number": "847-548-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302061",
            "telephone_number": "847-548-9186",
            "fax_number": "847-548-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "PARAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-106242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pthakkar234692@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "1170 E Belvidere Rd",
            "address_2": "Suite 210",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1170 E Belvidere Rd",
            "address_2": "Suite 210",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pthakkar@paragbthakkarmd.amazing-direct.com",
            "affiliation": "N",
            "address_1": "1170 E Belvidere Rd",
            "address_2": "Suite 210",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Szymczak
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• Marc Anthony Tantillo
• Sheila A. Taylor, PT
• Tina Marie Tews, D.C.
• The Couple's Place (The Couple's Place of Lake County)
• The Josselyn Center NFP
• Therapeutic Links
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• Therapeutic Services

• Internal Medicine Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.