MEDICARE: RUCHIR THAKKAR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036133879	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174812853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUCHIR THAKKAR D.O.

Provider Business Mailing Address
First Line	:	5741 W CERMAK RD
Second Line	:
City	:	CICERO
State	:	IL
Zip	:	60804-2129
Country	:	US
Telephone Number	:	708-222-0100
Fax Number	:	708-222-0102

Provider Business Practice Location Address
First Line	:	5741 W CERMAK RD
Second Line	:
City	:	CICERO
State	:	IL
Zip	:	60804-2129
Country	:	US
Telephone Number	:	708-222-0100
Fax Number	:	708-222-0102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	04/05/2017

Similar Medicare Providers

1205784014 — ANDREW MONTOYA
Practice Location Address:

5741 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-222-0100
Practice Fax:

1770540163 — DEEPAK LEEKHA MD
Practice Location Address:

5729 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-652-0200
Practice Fax: 708-652-9001

1013236090 — MK MEDICAL GROUP LLC
Practice Location Address:

5729 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-477-6525
Practice Fax:

1518498393 — CERMAK MEDICAL GROUP LLC
Practice Location Address:

5741 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-222-0100
Practice Fax: 708-222-0102

1184333627 — NICOLE ELIZABETH KULA PA-C
Practice Location Address:

5741 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-222-0100
Practice Fax:

1437911039 — HALEY ROSE SCHELLER PA-C
Practice Location Address:

5741 W CERMAK RD
CICERO, IL
60804-2129

Practice Phone: 708-222-0100
Practice Fax: 708-222-0102

Directions to “ RUCHIR THAKKAR D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.