Individual
MR. SHIVAM JAYANTI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
120 E OGDEN AVE STE 220, HINSDALE, IL 60521-3546
(630) 325-5300
Mailing address
501 COLLEGE AVE # CPOW146, WHEATON, IL 60187-9936
(361) 446-1925
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/23/2025
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