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14D1012820 CLIA NUMBER - PARAG B THAKKAR MD SC

Laboratory Demographics

CLIA Number: 14D1012820

Facility Name: PARAG B THAKKAR MD SC

Facility Address:
1170 E BELVIDERE RD - SUITE 210
GRAYSLAKE, IL
ZIP 60030
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Facility Phone Number: 847 548-9186

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1245256965

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D1012820
LAB Type Physician Office
Facility Name PARAG B THAKKAR MD SC
Street 1170 E BELVIDERE RD - SUITE 210
City GRAYSLAKE
State IL
ZIP 60030
Phone 847 548-9186
CertificateType 4
CertificateEffectiveDate 5/22/2023
CertificateExpirationDate 5/21/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024