Provider Demographics
NPI:1821693888
Name:THAKKAR, HARDIK M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARDIK
Middle Name:M
Last Name:THAKKAR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 S BUSSE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-4570
Mailing Address - Country:US
Mailing Address - Phone:847-871-6291
Mailing Address - Fax:847-871-6296
Practice Address - Street 1:1002 S BUSSE RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-4570
Practice Address - Country:US
Practice Address - Phone:847-871-6291
Practice Address - Fax:847-871-6296
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051300520183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist