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Individual

DR. CHANDNI DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD DDS

Contact information

Practice address
5841 S MARYLAND AVE # 3083, CHICAGO, IL 60637-1443
(773) 834-7708
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150

Taxonomy

Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
08930
IA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125.079257
IL

Other

Enumeration date
07/16/2012
Last updated
05/03/2022
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