Thakolkaran, Nimmy Thomas

Thakolkaran, Nimmy Thomas is an individual health care provider with primary practice located at 1725 W Harrison St Ste 955 , Chicago IL 60612-3862. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Thakolkaran, Nimmy Thomas can be contacted via phone (312) 942-7030.

Contact Information

Primary practice address
1725 W Harrison St Ste 955 Chicago IL 60612-3862
Phone: (312) 942-7030
Fax: (312) 563-4212
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.064449 Illinois
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036.143418 Illinois

Profile Details

NPI number 1255746376
LBN Legal business name Thakolkaran, Nimmy Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Apr 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255746376 NPPES
Wisconsin MEDICAID 100191458

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