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Organization
DESEYE RETINA LLC
Active
Organization
DESEYE RETINA LLC
Active
Other names
Windy City Retina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKIT DESAI MD (PRESIDENT)
(815) 714-9115
Entity
Organization
Contact information
Practice address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(815) 714-9115
Mailing address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(815) 714-9115
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
NULL
Other
Enumeration date
01/07/2020
Last updated
02/17/2020
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