G S Thakkar MDSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-071876 Issued in IL

Legal business name

G S THAKKAR MDSC

Practice address

2740 W Foster Ave Ste 203
Chicago, IL 60625-3525

Phone

(773) 989-3950

Fax

(773) 506-3884

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Gita G Thakkar

Title

Office Manager

Phone

(773) 989-3950

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1740453166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253525",
            "telephone_number": "773-989-3950",
            "fax_number": "773-506-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253525",
            "telephone_number": "773-989-3950",
            "fax_number": "773-506-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G S THAKKAR MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "GITA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-989-3950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-071876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-071876",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.