Healthcare Provider Details

I. General information

NPI: 1659933646
Provider Name (Legal Business Name): DARSHAK JOSHI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

744 ESSINGTON RD
JOLIET IL
60435-4912
US

IV. Provider business mailing address

860 STILLWATER PKWY
CROWN POINT IN
46307-5360
US

V. Phone/Fax

Practice location:
  • Phone: 815-729-0700
  • Fax:
Mailing address:
  • Phone: 219-662-8929
  • Fax: 219-662-7814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number05013320A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: