Organization
DESEYE RETINA LLC
Active
Other names
Windy City Retina
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKIT DESAI MD (PRESIDENT)
(815) 714-9115
Entity
Organization
Contact information
Practice address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(815) 714-9115
Mailing address
15905 S FREDERICK ST STE 105, PLAINFIELD, IL 60586-2212
(815) 714-9115
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
01/07/2020
Last updated
02/17/2020
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