SEJAL A THAKER (NPI# 1053310540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053310540 |
| Entity Type | Individual |
| Full Name | SEJAL A THAKER |
| Credential | M.D. |
| Practice Address |
3231 Euclid Ave Suite 405 Berwyn IL 60402-3471 |
| Practice Telephone | 7087832644 |
| Mailing Telephone | 7087832644 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2013-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036123694 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036123694 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036123694 | 05 | |
| RI | UNITED HEALTH CARE | 050483739 | 01 |
| RI | TUFTS HEALTH PLAN | 478831 | 01 |
| RI | HARVARD HEALTH PLAN | AA41888 | 01 |
| RI | BCBS OF RI | 29951-4 | 01 |
| RI | BLUE CHIP | 412690 | 01 |
| RI | CIGNA | 3238831 | 01 |
| RI | NEIGHBORHOOD HEALTH PLAN | 31388 | 01 |
| RI | MEDICARE GROUP | 709003710 | 01 |
| IL | MEDICARE PTAN | 202143 | 01 |
| RI | 7057835 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682675 | Sejal Thaker | Physician Assistant | 5 E 98th St, New York, NY 10029-6501 | 2016-08-02 |
| Street Address |
3231 EUCLID AVE SUITE 405 |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839115 | Cml-chicago Market Labs, Inc. | Clinical Medical Laboratory | 3231 Euclid Ave, Berwyn, IL 60402-3471 | 2005-05-24 |
| 1053819722 | L. Medicine Labs, LLC | Clinical Medical Laboratory | 3231 Euclid Ave, Berwyn, IL 60402-3471 | 2018-01-29 |
| 1457883969 | Regina Depietro | Student in an Organized Health Care Education/Training Program | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2017-04-03 |
| 1346795473 | Amy Damore | Psychologist | 3231 Euclid Ave, Suite 407, Berwyn, IL 60402-3471 | 2016-08-18 |
| 1700232634 | Alba Cardenas Molina | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-05-10 |
| 1225491434 | Maryann M Parayil | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-04-04 |
| 1730542077 | Ashley Mallory | Student in an Organized Health Care Education/Training Program | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2016-04-04 |
| 1174907646 | Brittany Sims | Physician Assistant | 3231 Euclid Ave, Suite 200, Berwyn, IL 60402-3471 | 2015-07-15 |
| 1518340058 | Tiffany Sham | Family Medicine | 3231 Euclid Ave, 5th Floor, Berwyn, IL 60402-3471 | 2015-07-01 |
| 1447646641 | Gary Rodriguez | Family Medicine | 3231 Euclid Ave, 5th Flr, Berwyn, IL 60402-3471 | 2015-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124130240 | Sharad K Khandelwal | Internal Medicine | 3245 Grove Ave, Berwyn, IL 60402-3474 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
| 1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
| 1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
| 1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
| 1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
| 1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
| 1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
| 1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.