Healthcare Provider Details

I. General information

NPI: 1053546564
Provider Name (Legal Business Name): ZANKHANA MASTER DESAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ZANKHANA REJENDRA MASTER

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S. WASHINGTON ST. NICU
NAPERVILLE IL
60540-7430
US

IV. Provider business mailing address

2650 RIDGE AVE
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-527-3234
  • Fax:
Mailing address:
  • Phone: 847-570-2040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036145867
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number2014039373
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number036-145867
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: