OrganizationThakkar S.C.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address2015 Dean St, #2, St Charles, IL 60174-1577(630) 584-2400PECOS EnrollmentBased on the most recent information from CMS, provider Thakkar S.C. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801915616Provider TypeOrganizationFull NameThakkar S.C.SubpartNoEnumeration Date3/29/2007Last Updated3/5/2014Contact InformationPractice LocationPractice Address2015 Dean St, #2, St Charles, IL 60174-1577Phone(630) 584-2400Fax(630) 584-2404Mailing LocationMailing Address2015 Dean St, #2, St Charles, IL 60174-1577Phone(630) 584-2400Fax(630) 584-2404Authorized OfficialNameThakkar, Jay (President)Phone(630) 584-2400Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036100883Illinois