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1003658204
MITAVA DIPESH THAKKAR
URBANA, IL
NPI
1003658204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL 125.084241)
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
Dr. MITAVA DIPESH THAKKAR DO
611 W PARK ST
URBANA, IL 61801-2501
Phone number: 217-365-2855
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Mailing Address
Dr. MITAVA DIPESH THAKKAR DO
1322 NORWELL CT
SCHAUMBURG, IL 60193-2539
Phone number:
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