Provider Demographics
NPI:1891891966
Name:PHYSICIAN CARE SERVICES S.C.
Entity type:Organization
Organization Name:PHYSICIAN CARE SERVICES S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:NALINI
Authorized Official - Middle Name:H
Authorized Official - Last Name:THAKRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-342-7076
Mailing Address - Street 1:8051 186TH ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-9341
Mailing Address - Country:US
Mailing Address - Phone:708-342-7076
Mailing Address - Fax:708-342-7083
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:708-342-7076
Practice Address - Fax:708-342-7083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center