Provider Demographics
NPI:1316778756
Name:HEALTHONE CLINIC INC
Entity type:Organization
Organization Name:HEALTHONE CLINIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:THAKKAR
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:630-380-3100
Mailing Address - Street 1:398 W ARMY TRAIL RD STE 118
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2398
Mailing Address - Country:US
Mailing Address - Phone:630-380-3100
Mailing Address - Fax:630-380-3099
Practice Address - Street 1:398 W ARMY TRAIL RD STE 118
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2398
Practice Address - Country:US
Practice Address - Phone:630-380-3100
Practice Address - Fax:630-380-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty