SearchIllinois207L00000X

Karl Takabayashi, M.D

NPI 1720353816 · on the registry since 2012 · sole proprietor

Practice

Address
2160 S 1st Ave
Bldg-103 Rm-3102
Maywood, IL 60153
Phone
(708) 216-6462
Organisation at this address
Walgreen Co
Walgreen Co
Rosin Optical Co., Inc.
Proviso Partners For Health
Loyola University Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2,186

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
207L00000X
Licence states on file
CA, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois