Individual
CHARMI VIJAY DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6345 W 79TH ST, BURBANK, IL 60459-1133
(312) 609-0300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2600
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036160243
IL
207R00000X
Internal Medicine Physician
Primary
25MB12097100
NJ
Other
Enumeration date
03/25/2019
Last updated
12/02/2024
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