Individual
DR. VIRENDRA DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2649 NORTH LARAMIE AVE., CHICAGO, IL 60639
(773) 745-0391
(773) 745-3506
Mailing address
7238 N KOSTNER AVE, LINCOLNWOOD, IL 60712-1920
(847) 677-4379
(773) 508-1796
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036-044107
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-044107
LICENSE
IL
Enumeration date
11/10/2006
Last updated
11/25/2014
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