Individual
SUBODH C DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2137 OAK PARK AVE, BERWYN, IL 60402-1718
(708) 749-4660
(708) 749-4665
Mailing address
2137 OAK PARK AVE, BERWYN, IL 60402-1718
(708) 749-4660
(708) 749-4665
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
IL
Other
Enumeration date
05/01/2006
Last updated
07/08/2007
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