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NPI Code Detail

MEDICARE: AMISHI S. DESAI D.O.

MEDICARE: AMISHI S. DESAI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician036120877IL

General Provider Information

NPI Number : 1588844070
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMISHI S. DESAI D.O.
Provider Business Mailing Address
First Line : 676 N SAINT CLAIR ST STE 1900
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2986
Country : US
Telephone Number : 312-695-8900
Fax Number : 312-695-9194
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 1900
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2986
Country : US
Telephone Number : 312-695-8900
Fax Number : 312-926-5489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 01/13/2026

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