Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Poonam Pankaj Thaker, MD

Individual provider Family Medicine Physician · NPI 1508030057

Dr. Poonam Pankaj Thaker, MD is a Family Practice in Chicago, Illinois. Qualified in 2004, 22 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7447 W Talcott Ave Ste 182
Chicago, IL 60631-3745
Phone: (773) 792-5155
Fax: (773) 594-7975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036-116808 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036-116808 (IL)

Record details

NPI number1508030057
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 16, 2008
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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