Parag B. Thakkar MD SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PARAG B. THAKKAR MD SC

Practice address

1170 E Belivere Rd
Suite 210
Grayslake, IL 60030

Phone

(847) 548-9186

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

Parag Thakkar, MD

Title

President

Phone

(847) 548-9186

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1427375401",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELIVERE RD",
            "address_2": "SUITE 210",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "60030",
            "telephone_number": "847-548-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAG B. THAKKAR MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "PARAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-548-9186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Orozco Rodriguez
• Randy Phillip Orr, M.D.
• Oscar S. Giron, M.D., S.C.
• Allison Marie Oster, PT, DPT
• Arturo Daniel Padilla, LSW
• Tanya Parker, RN, IL ECRN, PEL
• Anna Magdalena Pasterski
• Pramesh Patel, RPH
• Amie Pathmann, LPC
• Gracie Pathmann

• Primary Care Clinic/Center in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.