Healthcare Provider Details

I. General information

NPI: 1699645804
Provider Name (Legal Business Name): MAKKAR MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2025
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1768 DOUGLAS RD STE 20
OSWEGO IL
60543-5112
US

IV. Provider business mailing address

1768 DOUGLAS RD STE 20
OSWEGO IL
60543-5112
US

V. Phone/Fax

Practice location:
  • Phone: 331-205-7474
  • Fax: 331-212-4590
Mailing address:
  • Phone: 630-635-8288
  • Fax: 630-635-8347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ABHILASH MAKKAR
Title or Position: CEO
Credential: MD
Phone: 630-635-8288