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Individual

DR. KIRTIBEN P. DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036062399
IL
208VP0014X
Interventional Pain Medicine Physician
036062399
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036062399
IL
Enumeration date
06/06/2006
Last updated
05/27/2008
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