Individual provider · Type 1 NPI

Poonam Pankaj Thaker, MD

Sports Medicine (Family Medicine) Physician · Chicago, IL

NPI number 1508030057 Active

Practice location

7447 W Talcott Ave, Suite 182
Chicago, IL 60631-3745

Fax (773) 594-7975

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036-116808 (IL)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X036-116808 (IL)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1508030057

Poonam Pankaj Thaker, MD's National Provider Identifier is 1508030057, issued on Apr 16, 2008. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Chicago, IL. The record was last updated on Mar 24, 2021.