{
"Npi": {
"NPI": "1053546564",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DESAI",
"FirstName": "ZANKHANA",
"MiddleName": "MASTER",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MASTER",
"OtherFirstName": "ZANKHANA",
"OtherMiddleName": "REJENDRA",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "2650 RIDGE AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "EVANSTON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60201-1700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-570-2040",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "801 S. WASHINGTON ST.",
"SecondLinePracticeLocationAddress": "NICU",
"PracticeLocationAddressCityName": "NAPERVILLE",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60540-7430",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-527-3234",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/28/2009",
"LastUpdateDate": "09/10/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "2014039373",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "036145867",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "2080N0001X",
"TaxonomyName": "Neonatal-Perinatal Medicine Physician",
"LicenseNumber": "036-145867",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}