POORNIMA THANKACHAN
NPI 1821805714
Physician Assistant - Surgical in Mokena, IL

Active since December 13, 2024
19015 S JODI RD STE H, MOKENA, IL 60448(708) 995-5418(832) 804-8886 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Poornima Thankachan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

POORNIMA THANKACHAN (NPI 1821805714) is an individual surgical provider in Mokena, Illinois and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1821805714
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NamePOORNIMA THANKACHAN
Location Address19015 S JODI RD STE HMokena, IL 60448-8534
Mailing Address19015 S Jodi Rd Ste HMokena, IL 60448-8534 · (708) 995-5418 · Fax (832) 804-8886
Fax(832) 804-8886
Sole ProprietorYes
Enumeration DateDecember 13, 2024
NPPES CertifiedDecember 13, 2024
NPI 1821805714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
19015 S JODI RD STE H, Mokena, IL 60448

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Registered Nurse First Assistant)
19015 S JODI RD STE H
MOKENA, IL 60448
Physician Assistant (Surgical)
19015 S JODI RD STE H
MOKENA, IL 60448
Physician Assistant (Surgical)
19015 S JODI RD STE H
MOKENA, IL 60448
Physician Assistant (Surgical)
19015 S JODI RD STE H
MOKENA, IL 60448
Specialist/Technologist, Other (Surgical Assistant)
19015 S JODI RD STE H
MOKENA, IL 60448
Physician Assistant (Surgical)
19015 S JODI RD STE H
MOKENA, IL 60448
Specialist/Technologist, Other (Surgical Assistant)
19015 S JODI RD STE H
MOKENA, IL 60448
Physician Assistant (Surgical)
19015 S JODI RD STE H
MOKENA, IL 60448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Poornima Thankachan's NPI number?

The NPI number for Poornima Thankachan is 1821805714. It was assigned to this individual provider in the NPPES registry on December 13, 2024.

Where is Poornima Thankachan located?

Poornima Thankachan practices at 19015 S Jodi Rd Ste H, Mokena, IL 60448. The listed phone number is (708) 995-5418.

What is Poornima Thankachan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Poornima Thankachan was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.