Individual
RENUKA N DESAI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2031 E GRAND AVE, LINDENHURST, IL 60046-9041
(847) 356-5575
(847) 356-1792
Mailing address
45 TOWER CT, SUITE C, GURNEE, IL 60031-3376
(847) 623-3200
(847) 623-9168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36-063209
IL
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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