Healthcare Provider Details

I. General information

NPI: 1386964781
Provider Name (Legal Business Name): PALAK AMIT DESAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3060 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1008
US

IV. Provider business mailing address

3060 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1008
US

V. Phone/Fax

Practice location:
  • Phone: 224-251-1800
  • Fax: 847-763-8970
Mailing address:
  • Phone: 224-251-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036133116
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036133116
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number036133116
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: