POONAM THAKORE

CARBONDALE, IL
NPI1447612148
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL  036159517)
Additional Taxonomies208000000X Pediatrics
(Licence: CT  62497)
208000000X Pediatrics
(Licence: IL  036159517)
Enumeration Date2016-03-22
Last Update Date2022-08-11
Business Address
POONAM THAKORE M.D.
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
Mailing Address
POONAM THAKORE M.D.
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone number: 618-457-5200