Individual
DR. PRADIPKUMAR SHANTILAL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7234 OGDEN AVE, SUITE 3N, RIVERSIDE, IL 60546-2269
(708) 447-2277
(708) 447-2274
Mailing address
7234 OGDEN AVE, SUITE 3N, RIVERSIDE, IL 60546-2269
(708) 447-2277
(708) 447-2274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03655884
—
IL
Enumeration date
07/04/2006
Last updated
07/09/2007
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