Individual
THERESA ANN DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
1051 W RAND RD # 110, ARLINGTON HEIGHTS, IL 60004-2315
(847) 618-9292
(847) 618-9294
Mailing address
1051 W RAND RD # 110, ARLINGTON HEIGHTS, IL 60004-2315
(847) 618-9292
(847) 618-9294
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-003294
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164-003294
IL STATE LIC
IL
Enumeration date
05/02/2007
Last updated
11/17/2022
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