Provider Demographics
NPI:1699871665
Name:THAKRAR, NALINI H (MD)
Entity type:Individual
Prefix:DR
First Name:NALINI
Middle Name:H
Last Name:THAKRAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 E CHICAGO AVE
Mailing Address - Street 2:APT 52B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2601
Mailing Address - Country:US
Mailing Address - Phone:312-642-6006
Mailing Address - Fax:
Practice Address - Street 1:2404 E 79TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-5112
Practice Address - Country:US
Practice Address - Phone:312-642-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics