Sejal A Thaker
Pulmonary Disease Critical Care Medicine
3231 Euclid Ave Suite 405
Berwyn
, Illinois 60402-3471
Sejal A Thaker
Pulmonary Disease Critical Care Medicine
3231 Euclid Ave Suite 405
Berwyn
, Illinois 60402-3471
(708) 783-2644
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Sejal A Thaker
- 3231 Euclid Ave Suite 405
- Berwyn, IL
- Zip : 60402-3471
- Phone : (708) 783-2644
Second Address
- Sejal A Thaker
- 3231 Euclid Ave Suite 405
- Berwyn, IL
- Zip : 60402-3471
- Phone : (708) 783-2644
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 036123694 | IL |
| Y | 207RP1001X | Pulmonary Disease | 036123694 | IL |
National Provider Identifier
| NPI | 1053310540 |
|---|---|
| Provider Name | Sejal A Thaker |
| First Address | Berwyn, IL 60402-3471 |
| Second Address | Berwyn, IL 60402-3471 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2005 |
| Last Update Date | 29/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036123694 | (05) | IL |
| 050483739 | UNITED HEALTH CARE (01) | RI |
| 202143 | MEDICARE PTAN (01) | IL |
| 29951-4 | BCBS OF RI (01) | RI |
| 31388 | NEIGHBORHOOD HEALTH PLAN (01) | RI |
| 3238831 | CIGNA (01) | RI |
| 412690 | BLUE CHIP (01) | RI |
| 478831 | TUFTS HEALTH PLAN (01) | RI |
| 7057835 | (05) | RI |
| 709003710 | MEDICARE GROUP (01) | RI |
| AA41888 | HARVARD HEALTH PLAN (01) | RI |
| I40728 | (02) | RI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.