Avesh Thaker
Internal Medicine in Olympia Fields, IL. Individual provider (NPI-1).
NPI number1760045926
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1760045926
- Entity type
- Individual (NPI-1)
- Name
- Avesh Thaker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2019
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 036160227 | IL | Yes |
Practice location
20201 Crawford AveOlympia Fields, IL 60461-1010
Phone 708-747-4000
Mailing address
20201 Crawford AveOlympia Fields, IL 60461-1010
Phone 708-747-4000
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All 28 Internal Medicine Physician providers in Olympia Fields · All 921 providers in Olympia Fields
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