Individual provider Active NPI

Rina Thakkar, FNP

  • Family Nurse Practitioner
  • Elmhurst, IL
National Provider Identifier
1528318169
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.009549 Issued in IL
Practice address
977 N Oaklawn Ave
Suite 104
Elmhurst, IL 60126-1045
Phone
(630) 832-1775
NPI assigned
Sep 11, 2012
Last updated
Sep 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.009549 IL Primary

Addresses

Primary practice location

977 N Oaklawn Ave
Suite 104
Elmhurst, IL 60126-1045

Mailing address

3777 Monarch Cir
Naperville, IL 60564-9756
Phone (847) 845-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.009549ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Clinical LLC Family CurrentSince Sep 17, 2012 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Osf Multi-Specialty Group Past Accepting new patients

Locations

1333 Burr Ridge Pkwy
Ste 200
Burr Ridge, IL 60527
Phone (630) 308-8706

745 McClintock Dr
Ste 360
Burr Ridge, IL 60527
Phone (630) 506-1245

977 N Oaklawn Ave
Ste 104
Elmhurst, IL 60126
Phone (960) 832-1775

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1528318169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 MONARCH CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649756",
            "telephone_number": "847-845-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 N OAKLAWN AVE",
            "address_2": "SUITE 104",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261045",
            "telephone_number": "630-832-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "RINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.