Healthcare Provider Details

I. General information

NPI: 1417111584
Provider Name (Legal Business Name): RESHMA DESAI AJMERE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RESHMA D AJMERE MD

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 S NAPER BLVD
NAPERVILLE IL
60540-8300
US

IV. Provider business mailing address

1283 S NAPER BLVD
NAPERVILLE IL
60540-8300
US

V. Phone/Fax

Practice location:
  • Phone: 630-634-6742
  • Fax: 630-634-6743
Mailing address:
  • Phone: 630-634-6742
  • Fax: 630-634-6743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036-121186
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: