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Individual

CHINTAN SAILESH DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0280
(630) 232-3895
Mailing address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0280
(630) 232-3895

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125055385
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036127260
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036127260
IL
01
206147
MEDICARE GRP PTAN
IL
01
F400305980
MEDICARE INDIV PTAN
IL
Enumeration date
07/05/2008
Last updated
07/29/2024
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